Individual provider Active NPI

Sarah Corine Crepps, DDS

  • Endodontics
  • Centennial, CO
National Provider Identifier
1487213435
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
00204660 Issued in CO
Practice address
8120 S Holly St Ste 214
Centennial, CO 80122-4007
Phone
(303) 796-7676
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2019018442 MO
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X 00204660 CO Primary

Addresses

Primary practice location

8120 S Holly St Ste 214
Centennial, CO 80122-4007

Mailing address

8120 S Holly St Ste 214
Centennial, CO 80122-4007
Phone (303) 796-7676

Other practice location 1

3320 Rutger St
Saint Louis, MO 63104-1122
Phone (314) 977-8363

Other practice location 2

7889 S Lincoln Ct Ste 205
Littleton, CO 80122-2758
Phone (303) 796-7676

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sarah.crepps@cuanschutz.edu Direct

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
00204660COMDEndodontist
2019018442MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontic Associates Endodontics PastSince Aug 15, 2021 Accepting new patients

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1487213435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 S HOLLY ST STE 214",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224007",
            "telephone_number": "303-796-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 S HOLLY ST STE 214",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224007",
            "telephone_number": "303-796-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Rutger St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041122",
            "country_code": "US",
            "telephone_number": "314-977-8363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7889 S Lincoln Ct Ste 205",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801222758",
            "country_code": "US",
            "telephone_number": "303-796-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREPPS",
        "first_name": "SARAH",
        "middle_name": "CORINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2019018442",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "00204660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sarah.crepps@cuanschutz.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3220 Orion Dr",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809060920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.