Sarah J Magnuson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12538 Issued in MN

Practice address

7500 State Highway 55
Suite 200
Greenfield, MN 55373-6620

Phone

(763) 575-8038

Fax

(763) 575-8039

NPI assigned

Jun 4, 2008

Last updated

Nov 12, 2015By 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 1

Addresses

Other names 1

• Dr. Sarah J Jorgenson Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

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.

• Lake Sarah Dental PLLC

  dba Lake Sarah Dental

  • General Practice Dentistry
  • Greenfield, MN
  • NPI 1598179939
  NPD (past) Authorized official

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1457510596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 STATE HIGHWAY 55",
            "address_2": "SUITE 200",
            "city": "GREENFIELD",
            "state": "MN",
            "postal_code": "553736620",
            "telephone_number": "763-575-8038",
            "fax_number": "763-575-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 STATE HIGHWAY 55",
            "address_2": "SUITE 200",
            "city": "GREENFIELD",
            "state": "MN",
            "postal_code": "553736620",
            "telephone_number": "763-575-8038",
            "fax_number": "763-575-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "SARAH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "JORGENSON",
            "middle_name": "J",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alliance Home Health Care, LLC
• Juli Teien LMFT
• Lake Sarah Dental PLLC (Lake Sarah Dental)
• On Track Equine Assisted Psychotherapy- Eap
• Juli Diane Teien, LMFT

• General Practice Dentistry in Greenfield, MN
• Providers in Greenfield, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.