Sara Elizabeth Leonette Cody, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6035-015 Issued in WI

Practice address

744 Ryan Dr
Suite 203
Hudson, WI 54016-7979

Phone

(715) 386-5400

NPI assigned

Jul 23, 2007

Last updated

Jul 22, 2010By the provider in NPPES

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lift Dental PLLC

  • Public Health Dentistry
  • Stillwater, MN
  • NPI 1083178149
  NPD Authorized official
• Oakwood Dental - Hudson LLC

  • General Practice Dentistry
  • Hudson, WI
  • NPI 1770646093
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1386844785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 RYAN DR STE 203",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167985",
            "telephone_number": "715-386-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 RYAN DR",
            "address_2": "SUITE 203",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167979",
            "telephone_number": "715-386-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "SARA",
        "middle_name": "ELIZABETH LEONETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022715",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6035-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Joseph Clayton, LMT
• Clear Skies Child and Family Counseling LLC
• Shawna Clough
• Sophia Adele Cobian
• Angelena Cody
• Taylor Lee Coffin, LADC, LPC, LPCC
• Diana K Cohen, M.D.
• Paul Joseph Congdon, D.D.S.
• Quincy Conrad, CCC-SLP
• Consumer Direct for Minnesota, LLC

• General Practice Dentistry in Hudson, WI
• Providers in Hudson, 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 Jul 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.