Individual provider Active NPI

Sarah Ada Genevieve Urton, DPM

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1093164055
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Feb 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
113-560-477OtherUSCIC #

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.

Verify at the official NPI Registry.