Individual provider Active NPI

Sarah Jane Pasch, DMD

  • Dentist
  • Hermitage, TN
National Provider Identifier
1619300787
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10744 Issued in TN
Practice address
3901 Central Pike Ste 500
Hermitage, TN 37076-3431
Phone
(502) 792-0236
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7155-15 WI
Dentist 122300000X 10744 TN Primary

Addresses

Primary practice location

3901 Central Pike Ste 500
Hermitage, TN 37076-3431

Mailing address

9200 Shelbyville Rd Ste 531
Louisville, KY 40222-5132
Phone (502) 792-0236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240206003751 TN Practitioner - Dentist 3173966231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10744TNMDDentist
7155-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kdnashvilledc CurrentSince Nov 18, 2023 Accepting new patients

Locations

9200 Shelbyville Rd
Ste 531
Louisville, KY 40222

3901 Central Pike
Ste 500
Hermitage, TN 37076
Phone (502) 792-0236

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1619300787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SHELBYVILLE RD STE 531",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225132",
            "telephone_number": "502-792-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE STE 500",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763431",
            "telephone_number": "502-792-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCH",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7155-15",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.