Active NPI
Sara Jane Dever, RDH, MPH
- Dental Hygienist
- Cumming, GA
National Provider Identifier
1710516141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 8281
- Practice address
- 955 Summerfield Dr
Cumming, GA 30040-1016 - Phone
- (770) 367-5946
- NPI assigned
- Apr 7, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902012129 | MI | |
| Dental Hygienist | 124Q00000X | 8281 | GA | Primary |
Addresses
Primary practice location
955 Summerfield Dr
Cumming, GA 30040-1016
Mailing address
955 Summerfield Dr
Cumming, GA 30040-1016
Phone (770) 367-5946
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2902012129 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1710516141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 SUMMERFIELD DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300401016",
"telephone_number": "770-367-5946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 SUMMERFIELD DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300401016",
"telephone_number": "770-367-5946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVER",
"first_name": "SARA",
"middle_name": "JANE",
"credential": "RDH, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902012129",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "GA",
"license": "8281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.