Sarah Josefina Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046917-1 Issued in NY

Practice address

1299 Portland Ave
Suite 4
Rochester, NY 14621-2730

Phone

(585) 342-7902

Fax

(585) 342-9108

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 17, 2016 through Mar 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sarah Josefina Smith, DDS

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1184234627
  NPD Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1376664151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17666",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146170666",
            "telephone_number": "585-342-7902",
            "fax_number": "585-342-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 PORTLAND AVE",
            "address_2": "SUITE 4",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212730",
            "telephone_number": "585-342-7902",
            "fax_number": "585-342-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARAH",
        "middle_name": "JOSEFINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046917-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS ID NUMBER",
            "identifier": "70101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert S. Smith, D.D.S.
• Rone' Smith, RN
• Sabrina Ilean Smith, B.S.
• Samantha Paige Smith, FNP
• Sandra Marie Smith
• Scott R Smith, M.D.
• Seasia Monet Smith, LPN
• Shannon Smith
• Shannon Marie Smith, LMFT
• Sharon Smith

• General Practice Dentistry in Rochester, NY
• Providers in Rochester, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.