Sara Dawn Thomas Steddum, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH.002026628 Issued in CO

Practice address

1667 Cochrane Cir
Fort Carson, CO 80913-4603

Phone

(719) 526-2006

NPI assigned

Sep 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Sara Dawn Thomas Friar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1184400079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10975 MATTA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809259628",
            "telephone_number": "406-471-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134603",
            "telephone_number": "719-526-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEDDUM",
        "first_name": "SARA",
        "middle_name": "DAWN THOMAS",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MT",
            "license": "DEN-RDH-LIC-5934",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H05213",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002026628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "FRIAR",
            "middle_name": "DAWN THOMAS",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Lynn Stachitus, RN
• Joseph Stacker, PA-C
• Karin Stadelbauer, DENTAL ASSISTANT
• Scott Erin Stanfield
• John F Stecker III, MD
• Claudia Rae Steel, DA
• Veronica Gay Stephens, ANP-BC
• Sopheany Kon Stevens, FNP
• David Lawrence Stewart Sr., LPC, MAC, CAC III
• Robert Stewart, PSYD

• Dental Hygienist in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.