Sara Kellogg Troyer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

FT1101980 Issued in MI

Practice address

2633 Shirley Dr
Jackson, MI 49201-8633

Phone

(517) 787-2516

Fax

(517) 787-7734

NPI assigned

Jun 4, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sara Kellogg DDS PC

  • Dentist
  • Jackson, MI
  • NPI 1669916227
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306048194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 SHIRLEY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018633",
            "telephone_number": "517-787-2516",
            "fax_number": "517-787-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 SHIRLEY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018633",
            "telephone_number": "517-787-2516",
            "fax_number": "517-787-7734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N University Ave",
            "address_2": "Rm 2008, Box 1078",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481091012",
            "country_code": "US",
            "telephone_number": "734-615-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROYER",
        "first_name": "SARA",
        "middle_name": "KELLOGG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019574",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "FT1101980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "814652714",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Sue Tripp, RN, MSN, LMT, LDHS
• Stephanie M Tripp, MA CCC-SLP
• Priyank Mahesh Trivedi, PHARM.D
• Gregory Trompeter, DDS
• Sandra L Tropp, MS. LLP
• Camron Truax
• Kelly Truchan, FNP
• Bryn Trudell, NP
• Jamie Nicole Trudell, PA-C
• Julieanne True

• Dentist in Jackson, MI
• Providers in Jackson, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.