Individual provider Active NPI

Sarah Elizabeth Salenbien, DDS

  • Dentist
  • Adrian, MI
National Provider Identifier
1134320120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019575 Issued in MI
Practice address
3142 N Adrian Hwy
Adrian, MI 49221-1179
Phone
(517) 263-6100
Fax
(517) 263-6110
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901019575 MI Primary

Addresses

Primary practice location

3142 N Adrian Hwy
Adrian, MI 49221-1179

Mailing address

3142 N Adrian Hwy
Adrian, MI 49221-1179
Phone (517) 263-6100

Other names 1

  • Sarah Elizabeth Sprague Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170106001715 MI Order and Referring Only - DentistPractitioner - Dentist 8921389859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019575MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134320120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 N ADRIAN HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211179",
            "telephone_number": "517-263-6100",
            "fax_number": "517-263-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 N ADRIAN HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211179",
            "telephone_number": "517-263-6100",
            "fax_number": "517-263-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALENBIEN",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SPRAGUE",
            "middle_name": "ELIZABETH",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.