Jennifer L Sarantos, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018291 Issued in MI

Practice address

8191 Moors Bridge Rd
Portage, MI 49024-7416

Phone

(269) 327-1119

Fax

(269) 327-5725

NPI assigned

Mar 16, 2007

Last updated

Oct 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Woodbridge Dental Care, PLLC

  • General Practice Dentistry
  • Portage, MI
  • NPI 1851128136
  NPD Authorized official
• Wester Dental Care, P.C.

  • General Practice Dentistry
  • Portage, MI
  • NPI 1881718047
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1255455432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 MOORS BRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247416",
            "telephone_number": "269-327-1119",
            "fax_number": "269-327-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 MOORS BRIDGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247416",
            "telephone_number": "269-327-1119",
            "fax_number": "269-327-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARANTOS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Joyce Sanders-Carter, RN
• Gabrielle E Sanders
• Lee Carlin Sanders, MA LLP LMSW
• Samantha Alyse Sanders, LMFT
• Sandra Bowker and Associates, PLC
• Jessica Saucedo
• Megan Elizabeth Saucedo
• Karen Marie Sauer, PT
• Savahna Warner, PLLC
• Corey Ann Marie Sawall

• General Practice Dentistry in Portage, MI
• Providers in Portage, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.