Individual provider Active NPI

Perry W Sarle, DMD

  • General Practice Dentistry
  • Lewis Center, OH
National Provider Identifier
1376679340
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18737 Issued in OH
Practice address
145 Green Meadows Dr S
Lewis Center, OH 43035-9458
Phone
(614) 885-8009
Fax
(614) 885-8697
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18737 OH Primary

Addresses

Primary practice location

145 Green Meadows Dr S
Lewis Center, OH 43035-9458

Mailing address

145 Green Meadows Dr S
Lewis Center, OH 43035-9458
Phone (614) 885-8009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160510001321 OH Order and Referring Only - DentistPractitioner - Dentist 7012206352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1376679340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 GREEN MEADOWS DR S",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359458",
            "telephone_number": "614-885-8009",
            "fax_number": "614-885-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GREEN MEADOWS DR S",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359458",
            "telephone_number": "614-885-8009",
            "fax_number": "614-885-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARLE",
        "first_name": "PERRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.