Sara Bagorio, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH-2496-0 Issued in HI

Practice address

300 Twining St BLDG 760
Maxwell Afb, AL 36112-6027

Phone

(334) 953-5200

Fax

(334) 953-8607

NPI assigned

Nov 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Mininger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1093530206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TWINING ST BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126027",
            "telephone_number": "334-953-5200",
            "fax_number": "334-953-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TWINING ST BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126027",
            "telephone_number": "334-953-5200",
            "fax_number": "334-953-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGORIO",
        "first_name": "SARA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "HI",
            "license": "DH-2496-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MININGER",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lee Ann Alexander, ARNP
• Jessica Allinger
• Lynn Ann Ammon, FNP
• Erika Jean Anderson, MD
• J Calvin Anderson
• Valeri Marie Bennett, MSW, LCSW
• Lydia Price Beringer, M.S CCC/SLP
• Erlinda Padua Bhat, N.P.
• Phillip Wayne Blaich, PA-C
• Christine Sirna Bode

• Dental Hygienist in Maxwell Afb, AL
• Providers in Maxwell Afb, AL by specialty
• Dental Hygienist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.