Individual provider Active NPI

Sarah Elizabeth Stratton, D.D.S.

  • Dentist
  • Princeton, IN
National Provider Identifier
1386929545
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12011749A Issued in IN
Practice address
301 E Broadway St
Princeton, IN 47670-1841
Phone
(812) 386-6677
Fax
(812) 385-5473
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011749A IN Primary
Dentist 122300000X 390200000X IN

Addresses

Primary practice location

301 E Broadway St
Princeton, IN 47670-1841

Mailing address

301 E Broadway St
Princeton, IN 47670-1841
Phone (812) 386-6677

Other identifiers 2

IdentifierTypeStateIssuer
201042010AMedicaidIN
002679140OtherINUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160608002401 IN Order and Referring Only - DentistPractitioner - Dentist 3173813862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
390200000XINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stratton Family Dental, LLC Dentist Past Accepting new patients
Onhealthcare, LLC Dentist Past Accepting new patients

Organizations & group practices 2

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1386929545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E BROADWAY ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701841",
            "telephone_number": "812-386-6677",
            "fax_number": "812-385-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BROADWAY ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701841",
            "telephone_number": "812-386-6677",
            "fax_number": "812-385-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011749A",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "390200000X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201042010A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "002679140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.