Sarah Kennedy Fodor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001966-15 Issued in WI

Practice address

410 E Washington St
Slinger, WI 53086

Phone

(262) 644-6951

NPI assigned

Nov 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Swanson & Strupp Family Dentistry, LLC

  • Dental Clinic/Center
  • Slinger, WI
  • NPI 1538977467
  NPD (past)
• Swanson and Associates Family Dentistry, Inc.

  • General Practice Dentistry
  • Slinger, WI
  • NPI 1407923915
  NPD (past)

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1376010868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 S WOODWARD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071315",
            "telephone_number": "517-581-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E WASHINGTON ST",
            "city": "SLINGER",
            "state": "WI",
            "postal_code": "53086",
            "telephone_number": "262-644-6951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Wheeling St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457211",
            "country_code": "US",
            "telephone_number": "720-723-6158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Slinger",
            "state": "WI",
            "postal_code": "53086",
            "country_code": "US",
            "telephone_number": "262-644-6951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FODOR",
        "first_name": "SARAH",
        "middle_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001966-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Darin
• Meghan Dassow, COTA
• Abigail Davis, LMT
• Delta LLC
• Edmund J Fernandez, MD
• Melissa Folstad, MD
• Fresenius Medical Care Milwaukee, LLC
• Friedemann Chiropractic LLC
• Thomas J Friedemann, D.C.
• Geminicares, Inc.

• General Practice Dentistry in Slinger, WI
• Providers in Slinger, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.