NPIMap

Organization Active NPI

Sarah Puzey LLC

Doing business as Periodontics of O'Fallon

  • Periodontics
  • O'Fallon, MO
National Provider Identifier
1114303062
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2007000508 Issued in MO
Legal business name
SARAH PUZEY LLC
Doing business as
Periodontics of O'Fallon
Practice address
2934 Highway K
O Fallon, MO 63368-7861
Phone
(636) 379-6905
Fax
(636) 272-6131
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Dr. Sarah Christina Northcott, DMD, MSNPI 1376716548
Title
Owner/Periodontist
Phone
(636) 379-6905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 2007000508 MO Primary

Addresses

Primary practice location

2934 Highway K
O Fallon, MO 63368-7861

Mailing address

2934 Highway K
O Fallon, MO 63368-7861
Phone (636) 379-6905

Other names 1

  • Periodontics of O'Fallon Doing business as

National Provider Directory

National Provider Directory

Locations

2934 Highway K
O Fallon, MO 63368
Phone (636) 379-6905

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": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1114303062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687861",
            "telephone_number": "636-379-6905",
            "fax_number": "636-272-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687861",
            "telephone_number": "636-379-6905",
            "fax_number": "636-272-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH PUZEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "NORTHCOTT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/PERIODONTIST",
        "authorized_official_telephone_number": "636-379-6905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2007000508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontics of O'Fallon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.