Individual provider Active NPI

Sarah Eubank, D.D.S.

  • Dentist
  • Plano, TX
National Provider Identifier
1609122035
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28210 Issued in TX
Practice address
2101 Teakwood LN Ste 100
Plano, TX 75075-2056
Phone
(972) 596-1811
Fax
(972) 867-2219
NPI assigned
Aug 3, 2012
Last updated
Jun 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28210 TX Primary

Addresses

Primary practice location

2101 Teakwood LN Ste 100
Plano, TX 75075-2056

Mailing address

2101 Teakwood LN Ste 100
Plano, TX 75075-2056
Phone (972) 596-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20171229001945 TX Order and Referring Only - DentistPractitioner - Dentist 9133435977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28210TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah J Eubank DDS PLLC Dentist 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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1609122035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 TEAKWOOD LN STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752056",
            "telephone_number": "972-596-1811",
            "fax_number": "972-867-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 TEAKWOOD LN STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752056",
            "telephone_number": "972-596-1811",
            "fax_number": "972-867-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANK",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.