Individual provider Active NPI

Sarah Julien

  • Dental Hygienist
  • St Francis, WI
National Provider Identifier
1609534742
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
5906-16 Issued in WI
Practice address
4060 S Lake Dr Apt 4
St Francis, WI 53235-5256
Phone
(407) 375-3003
Fax
(800) 863-5373
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 5906-16 WI Primary

Addresses

Primary practice location

4060 S Lake Dr Apt 4
St Francis, WI 53235-5256

Mailing address

E8998 810TH Ave
Colfax, WI 54730-5028
Phone (715) 461-0398

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tara@ltc-dental.com

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
5906-16WIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
LTC Dental CurrentSince Dec 12, 2021 Accepting new patients
LTC Dental II LLC Dental Hygienist CurrentSince Dec 12, 2021 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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1609534742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E8998 810TH AVE",
            "city": "COLFAX",
            "state": "WI",
            "postal_code": "547305028",
            "telephone_number": "715-461-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 S LAKE DR APT 4",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532355256",
            "telephone_number": "407-375-3003",
            "fax_number": "800-863-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIEN",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "5906-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tara@ltc-dental.com",
            "affiliation": "N",
            "address_1": "4060 S Lake Dr Apt 4",
            "city": "St Francis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532355256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Francis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.