Individual provider Active NPI

Susan E Sawin-Johnson, D.D.S.

  • General Practice Dentistry
  • Columbus, IN
National Provider Identifier
1588674402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009146 Issued in IN
Practice address
2525 Sandcrest Blvd
Columbus, IN 47203-3048
Phone
(812) 372-6165
Fax
(802) 372-3065
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009146 IN Primary

Addresses

Primary practice location

2525 Sandcrest Blvd
Columbus, IN 47203-3048

Mailing address

2525 Sandcrest Blvd
Columbus, IN 47203-3048
Phone (812) 372-6165

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
12009146INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sandcrest Dental Health Associates, P.C. General Practice Past Accepting new patients
Sandcrest Dental Health LLC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588674402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033048",
            "telephone_number": "812-372-6165",
            "fax_number": "802-372-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033048",
            "telephone_number": "812-372-6165",
            "fax_number": "802-372-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWIN-JOHNSON",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.