Individual provider Active NPI

Sarah Ann Rodgers

  • Dentist
  • Coos Bay, OR
National Provider Identifier
1396113007
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D10267 Issued in OR
Practice address
1245 Fulton Ave
Coos Bay, OR 97420-2895
Phone
(541) 888-6433
Fax
(541) 888-7505
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D10267 OR Primary

Addresses

Primary practice location

1245 Fulton Ave
Coos Bay, OR 97420-2895

Mailing address

1245 Fulton Ave
Coos Bay, OR 97420-2895
Phone (541) 888-6433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D10267ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians Past Accepting new patients
Confederated Tribes of Coos, Lower Umpqua, & Siuslaw Indians PastSince Jun 9, 2024 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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1396113007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 FULTON AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202895",
            "telephone_number": "541-888-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 FULTON AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202895",
            "telephone_number": "541-888-6433",
            "fax_number": "541-888-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.