Active NPI
Sarah Ada Genevieve Urton, DPM
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1093164055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2900 N. Lake Shore Drive
Chicago, IL 60657-6274 - Phone
- (773) 665-6730
- NPI assigned
- Jun 9, 2016
- Reactivated
- Feb 10, 2017
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2900 N. Lake Shore Drive
Chicago, IL 60657-6274
Mailing address
2208 N Clark St
Apt 310
Chicago, IL 60614-3847
Phone (510) 704-3167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113-560-477 | Other | USCIC # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1093164055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 N CLARK ST",
"address_2": "APT 310",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143847",
"telephone_number": "510-704-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N. LAKE SHORE DRIVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576274",
"telephone_number": "773-665-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URTON",
"first_name": "SARAH",
"middle_name": "ADA GENEVIEVE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2017-02-10",
"deactivation_date": "2017-01-25",
"reactivation_date": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USCIC #",
"identifier": "113-560-477",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.