Individual provider Active NPI

Sarah Blondin, DMD

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1407002017
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60028787 Issued in WA
Practice address
2 N Tacoma Ave
Tacoma, WA 98403-3125
Phone
(253) 383-4901
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 DE60028787 WA Primary

Addresses

Primary practice location

2 N Tacoma Ave
Tacoma, WA 98403-3125

Mailing address

2 N Tacoma Ave
Tacoma, WA 98403-3125
Phone (253) 383-4901

Other names 1

  • Sarah Goodin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60028787WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stadium Dental CurrentSince Jul 23, 2023 Accepting new patients

Locations

2 N Tacoma Ave
Tacoma, WA 98403
Phone (253) 383-4901

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1407002017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N TACOMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033125",
            "telephone_number": "253-383-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N TACOMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033125",
            "telephone_number": "253-383-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDIN",
        "first_name": "SARAH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60028787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GOODIN",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.