Sarah Marie Severson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

1001414-15 Issued in WI

Practice address

1890 Medical Pkwy
San Marcos, TX 78666-7998

Phone

(512) 393-3500

NPI assigned

Aug 19, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shine Pediatric Dental Co.

  • Pediatric Dentistry
  • Round Rock, TX
  • NPI 1548977895
  NPD Authorized official

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164977047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OAKLANDS DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814031",
            "telephone_number": "512-698-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 MEDICAL PKWY",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667998",
            "telephone_number": "512-393-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001414-15",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "32681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juju Seki
• Serene Serenity Massage LLC
• Richard Serra, ATC
• Seton ENT (Childrens Ear Nose & Throat Center)
• Brittany Renee Severson, MSN, APRN, FNP-C
• Randolph Cochrane Seybold, MD
• SH & LPB Holdings, LLC (Medpark Hearing Center)
• Kelsey Shaltry, RD, LD
• Shape Center
• Murray H. Shapiro, M.D.

• Dentist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.