Sarah Elizabeth Mischo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12200 Issued in NC

Practice address

103 Superior Dr
Spring Lake, NC 28390-3193

Phone

(910) 497-3200

NPI assigned

Mar 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sarah Wunderlich Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr David G Dickerhoff DDS & Associates PA

  • Dental Clinic/Center
  • Spring Lake, NC
  • NPI 1003992223
  NPD (past)

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1679100432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 VALLEY STREAM RD",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902874",
            "telephone_number": "920-915-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUPERIOR DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903193",
            "telephone_number": "910-497-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISCHO",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WUNDERLICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret McSherry, LCSW
• Kaitlyn E Meiners
• Lillie Melissa Miller
• Linda Miller
• Mindful Therapy Services PLLC
• Emily Molina
• Tamara Moore
• Autumn Skylar Morgan
• Christopher Morrow, PA-C
• Kristine Mueller

• Dentist in Spring Lake, NC
• Providers in Spring Lake, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.