Organization Active NPI

Sarah C. Shoaf, DDS, Med, Ms, PC

Doing business as Salem Smiles

  • Dental Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1114294527
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5957 Issued in NC
Legal business name
SARAH C. SHOAF, DDS, MED, MS, PC
Doing business as
Salem Smiles
Practice address
1063 W Northwest Blvd
Winston Salem, NC 27101-1104
Phone
(336) 725-5757
NPI assigned
Nov 30, 2011
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Sarah C Shoaf, DDS, MED, MS
Title
President
Phone
(336) 723-3924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5957 NC Primary

Addresses

Primary practice location

1063 W Northwest Blvd
Winston Salem, NC 27101-1104

Mailing address

1063 W Northwest Blvd
Winston Salem, NC 27101-1104
Phone (336) 725-5757

Other names 1

  • Salem Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1063 W Northwest Blvd
Winston Salem, NC 27101
Phone (336) 725-5757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1114294527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 W NORTHWEST BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011104",
            "telephone_number": "336-725-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 W NORTHWEST BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011104",
            "telephone_number": "336-725-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH C. SHOAF, DDS, MED, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "SHOAF",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-723-3924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MED, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.