Active NPI
Sara Valencia, DDS
- General Practice Dentistry
- Four Oaks, NC
National Provider Identifier
1265871073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9536
- Practice address
- 100 E Sanders St
Four Oaks, NC 27524-7776 - Phone
- (910) 813-0814
- NPI assigned
- Jun 14, 2013
- Last updated
- Nov 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9536 | NC | Primary |
Addresses
Primary practice location
100 E Sanders St
Four Oaks, NC 27524-7776
Mailing address
100 E Sanders St
Four Oaks, NC 27524-7776
Phone (910) 813-0814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9536 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1265871073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E SANDERS ST",
"city": "FOUR OAKS",
"state": "NC",
"postal_code": "275247776",
"telephone_number": "910-813-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SANDERS ST",
"city": "FOUR OAKS",
"state": "NC",
"postal_code": "275247776",
"telephone_number": "910-813-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "SARA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-14",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "9536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Four Oaks, NC
- Tri County Community Health Council Inc
- Tri County Community Health Council Inc
- Tri County Community Health Council Inc
- Tri County Community Health Council Inc (CommWell Health Mobile Healthcare Unit 1)
- Valarie C. McCullers (Angel's Home Health Care)
- Vrcllc
- Stanley Rudolph Watson, M.D.
- Jamie Williams, RRT
- Monica Williams, RRT
- Jenny Robbins Wood, MA LPC LCAS NCC CCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.