Active NPI
Sarah Baca
- Dental Hygienist
- Calhan, CO
National Provider Identifier
1164975322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 002024257
- Practice address
- 550 Fifth St.
Calhan, CO 80808-0041 - Phone
- (719) 347-3212
- NPI assigned
- Jul 25, 2016
- Last updated
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 002024257 | CO | Primary |
Addresses
Primary practice location
550 Fifth St.
Calhan, CO 80808-0041
Mailing address
PO Box 41
Calhan, CO 80808-0041
Phone (719) 347-3212
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 |
|---|---|---|---|
| 002024257 | CO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Plains LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Calhan, CO
- NPI 1225486293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1164975322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41",
"city": "CALHAN",
"state": "CO",
"postal_code": "808080041",
"telephone_number": "719-347-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 FIFTH ST.",
"city": "CALHAN",
"state": "CO",
"postal_code": "808080041",
"telephone_number": "719-347-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "002024257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calhan, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.