Individual provider Active NPI

Sara Fiene, MD

  • Specialist
  • Bismarck, ND
National Provider Identifier
1184282469
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21181 Issued in ND
Practice address
115 W Century Ave Ste B
Bismarck, ND 58503-1403
Phone
(701) 255-3311
Fax
(701) 255-2255
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21181 ND Primary

Addresses

Primary practice location

115 W Century Ave Ste B
Bismarck, ND 58503-1403

Mailing address

115 W Century Ave Ste B
Bismarck, ND 58503-1403
Phone (701) 255-3311

Other names 1

  • Sara Paulson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 5, 2024 through Dec 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21181NDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Center of Plastic Surgery Specialist Past Accepting new patients
Independent Practioners of America, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1184282469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W CENTURY AVE STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031403",
            "telephone_number": "701-255-3311",
            "fax_number": "701-255-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W CENTURY AVE STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031403",
            "telephone_number": "701-255-3311",
            "fax_number": "701-255-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIENE",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ND",
            "license": "21181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "PAULSON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.