Individual provider Active NPI

Sarah Crowley, DDS

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1679267207
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601680 Issued in MI
Practice address
3400 Travis Pointe Rd
Ann Arbor, MI 48108-7907
Phone
(734) 996-0200
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601680 MI Primary

Addresses

Primary practice location

3400 Travis Pointe Rd
Ann Arbor, MI 48108-7907

Mailing address

1526 Granada Ave
Ann Arbor, MI 48103-5762
Phone (623) 236-6345

Other practice location 1

5425 Whittaker Rd
Ypsilanti, MI 48197-9751
Phone (734) 480-0033

Other names 1

  • Dr. Sarah Ellsworth Former name

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
2901601680MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Dentistry, PLLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

5425 Whittaker Rd
Ypsilanti, MI 48197
Phone (734) 480-0033

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1679267207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 GRANADA AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035762",
            "telephone_number": "623-236-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 TRAVIS POINTE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481087907",
            "telephone_number": "734-996-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5425 Whittaker Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481979751",
            "country_code": "US",
            "telephone_number": "734-480-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ELLSWORTH",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.