Active NPI
Sarah Mae Jovanovski, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Hood, TX
National Provider Identifier
1538397609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 24494
- Practice address
- Building 330, 761St Tank Battalion
Attn: Dina Elliott
Fort Hood, TX 76544 - Phone
- (254) 285-2014
- NPI assigned
- Jun 29, 2009
- Last updated
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 24494 | TX | Primary |
Addresses
Primary practice location
Building 330, 761St Tank Battalion
Attn: Dina Elliott
Fort Hood, TX 76544
Mailing address
401 Teravista Pkwy
Apt #1524
Round Rock, TX 78665-1272
Phone (504) 906-8755
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24494 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Dental Services | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1538397609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 TERAVISTA PKWY",
"address_2": "APT #1524",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651272",
"telephone_number": "504-906-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUILDING 330, 761ST TANK BATTALION",
"address_2": "ATTN: DINA ELLIOTT",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-285-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOVANOVSKI",
"first_name": "SARAH",
"middle_name": "MAE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "24494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.