NPIMap

Organization Active NPI

Sarah J Sibbach DMD, Inc

  • General Practice Dentistry
  • Chino, CA
National Provider Identifier
1144663550
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56948 Issued in CA
Legal business name
SARAH J SIBBACH DMD, INC
Practice address
13788 Roswell Ave
#100
Chino, CA 91710-1409
Phone
(610) 390-4058
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Dr. Sarah June Sibbach, DMDNPI 1851558381
Title
President
Phone
(610) 390-4058

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 56948 CA Primary

Addresses

Primary practice location

13788 Roswell Ave
#100
Chino, CA 91710-1409

Mailing address

13788 Roswell Ave
#100
Chino, CA 91710-1409
Phone (610) 390-4058

National Provider Directory

National Provider Directory

Locations

13788 Roswell Ave
Ste 100
Chino, CA 91710
Phone (610) 390-4058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1144663550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13788 ROSWELL AVE",
            "address_2": "#100",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101409",
            "telephone_number": "610-390-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13788 ROSWELL AVE",
            "address_2": "#100",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101409",
            "telephone_number": "610-390-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH J SIBBACH DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "SIBBACH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-390-4058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.