Active NPI
Sarah Christina Northcott, DMD
- Periodontics
- O'Fallon, MO
National Provider Identifier
1376716548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 2007000508
- Practice address
- 2934 Highway K
O Fallon, MO 63368-7861 - Phone
- (636) 379-6905
- Fax
- (636) 272-6131
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019027179 | IL | |
| Periodontics | 1223P0300X | 2007000508 | MO | Primary |
Addresses
Primary practice location
2934 Highway K
O Fallon, MO 63368-7861
Mailing address
2934 Highway K
O Fallon, MO 63368-7861
Phone (636) 379-6905
Other names 1
- Ms. Sarah Christina Puzey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151125000784 | MO | Order and Referring Only - Oral Surgery | 7315247293 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019027179 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Puzey LLC | Periodontics | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1376716548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2934 HIGHWAY K",
"city": "O FALLON",
"state": "MO",
"postal_code": "633687861",
"telephone_number": "636-379-6905",
"fax_number": "636-272-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2934 HIGHWAY K",
"city": "O FALLON",
"state": "MO",
"postal_code": "633687861",
"telephone_number": "636-379-6905",
"fax_number": "636-272-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHCOTT",
"first_name": "SARAH",
"middle_name": "CHRISTINA",
"name_prefix": "Mrs.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027179",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MO",
"license": "2007000508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "PUZEY",
"middle_name": "CHRISTINA",
"prefix": "MS.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.