Active NPI
Sarah Whisler
- Dentist
- Eagan, MN
National Provider Identifier
1104505676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14974
- Practice address
- 1625 Lena CT Ste 100
Eagan, MN 55122-2957 - Phone
- (651) 452-7111
- NPI assigned
- Jul 12, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D14974 | MN | Primary |
Addresses
Primary practice location
1625 Lena CT Ste 100
Eagan, MN 55122-2957
Mailing address
2683 N Shore Dr
Wayzata, MN 55391-9351
Phone (952) 454-8979
Other practice location 1
1121 Town Centre Dr
Eagan, MN 55123-1199
Phone (651) 454-4771
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 |
|---|---|---|---|
| D14974 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1104505676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2683 N SHORE DR",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553919351",
"telephone_number": "952-454-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 LENA CT STE 100",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222957",
"telephone_number": "651-452-7111"
}
],
"practiceLocations": [
{
"address_1": "1121 Town Centre Dr",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551231199",
"country_code": "US",
"telephone_number": "651-454-4771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHISLER",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.