Active NPI
Sara Shumate, D.D.S.
- Dentist
- Vero Beach, FL
National Provider Identifier
1629191077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN11698
- Practice address
- 836 S US Highway 1
Vero Beach, FL 32962-4703 - Phone
- (772) 778-1446
- Fax
- (772) 778-1102
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN11698 | FL | Primary |
Addresses
Primary practice location
836 S US Highway 1
Vero Beach, FL 32962-4703
Mailing address
836 S US Highway 1
Vero Beach, FL 32962-4703
Phone (772) 778-1446
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN11698 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629191077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 S US HIGHWAY 1",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329624703",
"telephone_number": "772-778-1446",
"fax_number": "772-778-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 S US HIGHWAY 1",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329624703",
"telephone_number": "772-778-1446",
"fax_number": "772-778-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMATE",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN11698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
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.