Sarah Rose Latterell, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D12679 Issued in MN

Practice address

10945 Ulysses St NE
Blaine, MN 55434-4185

Phone

(763) 784-1993

Fax

(763) 784-1575

NPI assigned

Jun 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Rose Doheny Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 17, 2016 through Aug 17, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ling Family Dentistry

  • General Practice Dentistry
  • Blaine, MN
  • NPI 1053791319
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1497982318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 ULYSSES STREET NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55434",
            "telephone_number": "763-784-1993",
            "fax_number": "763-784-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 ULYSSES ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344185",
            "telephone_number": "763-784-1993",
            "fax_number": "763-784-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTERELL",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DOHENY",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Anne Tikkanen Lang, DDS
• Mary M Laplant, PHARMD
• Daniel Larscheid, DDS
• Shelly Lea Larson-Peters, M.D.
• Jennifer Kathryn Larson, MA
• Angela Laughlin, APRN, NP-C
• David Karmue Lawor Jr., RN, BSN,CCRN
• Jean L Layman, O.D.
• Richard Leach, M.D.
• Louis Kon-Wai Lee, OD

• Dentist in Blaine, MN
• Providers in Blaine, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.