Individual provider Active NPI

Sarah Elisabeth Fogg, RDH

  • Dental Hygienist
  • Standish, ME
National Provider Identifier
1427627322
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
4132 Issued in ME
Practice address
75 Watchic Road 19
Standish, ME 04084-6651
Phone
(207) 232-8831
NPI assigned
Jun 23, 2021
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 4132 ME Primary

Addresses

Primary practice location

75 Watchic Road 19
Standish, ME 04084-6651

Mailing address

75 Watchic Road 19
Standish, ME 04084-6651
Phone (207) 232-8831

Other practice location 1

75 Watchic Road 19
Standish, ME 04084-6651
Phone (207) 232-8831

Other practice location 2

75 Watchic Road 19
Standish, ME 04084-6651
Phone (207) 232-8831

Other identifiers 1

IdentifierTypeStateIssuer
2072328831OtherUNIVERSITY OF NEW ENGLAND

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sfogg1

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
4132MEMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1427627322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WATCHIC ROAD 19",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846651",
            "telephone_number": "207-232-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WATCHIC ROAD 19",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846651",
            "telephone_number": "207-232-8831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Watchic Road 19",
            "address_purpose": "LOCATION",
            "city": "Standish",
            "state": "ME",
            "postal_code": "040846651",
            "country_code": "US",
            "telephone_number": "207-232-8831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Watchic Road 19",
            "address_purpose": "LOCATION",
            "city": "Standish",
            "state": "ME",
            "postal_code": "040846651",
            "country_code": "US",
            "telephone_number": "207-232-8831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGG",
        "first_name": "SARAH",
        "middle_name": "ELISABETH",
        "name_prefix": "Miss",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "4132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF NEW ENGLAND",
            "identifier": "2072328831",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sfogg1",
            "affiliation": "N",
            "address_1": "75 Watchic Road 19",
            "city": "Standish",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040846651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Standish, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.