Individual provider Active NPI

Sarah Cupino, D.D.S.

  • Dentist
  • Artesia, CA
National Provider Identifier
1679627095
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41910 Issued in CA
Practice address
12146 South St
Suite E
Artesia, CA 90701-6844
Phone
(562) 924-1007
Fax
(562) 924-1267
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41910 CA Primary

Addresses

Primary practice location

12146 South St
Suite E
Artesia, CA 90701-6844

Mailing address

12146 South St
Suite E
Artesia, CA 90701-6844
Phone (562) 924-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161209001893 CA Order and Referring Only - Other (Non-Physician) 2163702010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41910CAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah a Cupino DMD Inc Past Accepting new patients

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, 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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679627095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12146 SOUTH ST",
            "address_2": "SUITE E",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016844",
            "telephone_number": "562-924-1007",
            "fax_number": "562-924-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12146 SOUTH ST",
            "address_2": "SUITE E",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016844",
            "telephone_number": "562-924-1007",
            "fax_number": "562-924-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPINO",
        "first_name": "SARAH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

Verify at the official NPI Registry.