Individual provider Active NPI

Sarah Lamecker, DDS

  • General Practice Dentistry
  • Cambridge, MN
National Provider Identifier
1619533304
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D14197 Issued in MN
Practice address
110 Opportunity Blvd S Ste a
Cambridge, MN 55008-2222
Phone
(763) 325-4981
NPI assigned
May 17, 2019
Last updated
May 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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 D14197 MN Primary

Addresses

Primary practice location

110 Opportunity Blvd S Ste a
Cambridge, MN 55008-2222

Mailing address

10734 313TH Ave
Princeton, MN 55371-8304
Phone (612) 865-7078

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
D14197MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1619533304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10734 313TH AVE",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553718304",
            "telephone_number": "612-865-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OPPORTUNITY BLVD S STE A",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550082222",
            "telephone_number": "763-325-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMECKER",
        "first_name": "SARAH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.