Individual provider Active NPI

Sara Elizabeth McLin, DDS

  • General Practice Dentistry
  • Lutz, FL
National Provider Identifier
1336437441
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26297 Issued in FL
Practice address
19721 State Road 54
Lutz, FL 33558-7807
Phone
(813) 435-3462
NPI assigned
Jul 11, 2011
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27054 TX
General Practice Dentistry 1223G0001X DN26297 FL Primary

Addresses

Primary practice location

19721 State Road 54
Lutz, FL 33558-7807

Mailing address

3345 Brenford PL
Land O Lakes, FL 34638-8004
Phone (817) 939-3672

Other practice location 1

37221 Meridian Ave
Dade City, FL 33525-3617
Phone (352) 397-2408

Other practice location 2

8204 Pat Booker Rd
Live Oak, TX 78233-2440
Phone (210) 654-9094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN26297FLMDGeneral Practice Dentistry
27054TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Goodman Family Dental General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1336437441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 BRENFORD PL",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388004",
            "telephone_number": "817-939-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19721 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335587807",
            "telephone_number": "813-435-3462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37221 Meridian Ave",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "335253617",
            "country_code": "US",
            "telephone_number": "352-397-2408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8204 Pat Booker Rd",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782332440",
            "country_code": "US",
            "telephone_number": "210-654-9094",
            "fax_number": "210-655-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLIN",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27054",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

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