Individual provider Active NPI

Sarah C. Brevet, D.M.D.

  • General Practice Dentistry
  • Ocean Grove, NJ
National Provider Identifier
1659493294
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02152300 Issued in NJ
Practice address
64 Main Ave
Ocean Grove, NJ 07756-1319
Phone
(732) 774-8700
Fax
(732) 774-8708
NPI assigned
Apr 4, 2007
Last updated
Mar 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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 22DI02152300 NJ Primary

Addresses

Primary practice location

64 Main Ave
Ocean Grove, NJ 07756-1319

Mailing address

64 Main Ave
Ocean Grove, NJ 07756-1319
Phone (732) 774-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150402000298 NJ Order and Referring Only - Oral SurgeryPractitioner - DentistPractitioner - Oral Surgery 9931426855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sarah C. Brevet, LLC General Practice Past Accepting new patients
Dr. Dale C. Whilden, LLC Past 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, 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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1659493294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MAIN AVE",
            "city": "OCEAN GROVE",
            "state": "NJ",
            "postal_code": "077561319",
            "telephone_number": "732-774-8700",
            "fax_number": "732-774-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MAIN AVE",
            "city": "OCEAN GROVE",
            "state": "NJ",
            "postal_code": "077561319",
            "telephone_number": "732-774-8700",
            "fax_number": "732-774-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREVET",
        "first_name": "SARAH",
        "middle_name": "C.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02152300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Grove, NJ

Sources for this page

Verify at the official NPI Registry.