Active NPI
Sarah Jean Dennison
- Dental Clinic/Center
- Rochester, MN
National Provider Identifier
1093087389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- H7948
- Practice address
- 930 West Center Street
Suite 208 United Way BLDG
Rochester, MN 55902 - Phone
- (507) 529-0436
- Fax
- (507) 529-0435
- NPI assigned
- Feb 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | H7948 | MN | Primary |
Addresses
Primary practice location
930 West Center Street
Suite 208 United Way BLDG
Rochester, MN 55902
Mailing address
4737 13TH Ave NW
Rochester, MN 55901-2633
Phone (507) 251-4663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H7948 | MN | MD | Dental Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1093087389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4737 13TH AVE NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012633",
"telephone_number": "507-251-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 WEST CENTER STREET",
"address_2": "SUITE 208 UNITED WAY BLDG",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55902",
"telephone_number": "507-529-0436",
"fax_number": "507-529-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNISON",
"first_name": "SARAH",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MN",
"license": "H7948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.