Individual provider Active NPI

Sarah Barrow Modlin, D.M.D.

  • General Practice Dentistry
  • Chesterfield, MO
National Provider Identifier
1720300585
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2020028340 Issued in MO
Practice address
1642 Clarkson Rd
Chesterfield, MO 63017-4601
Phone
(636) 728-1540
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.028117 IL
General Practice Dentistry 1223G0001X 2020028340 MO Primary

Addresses

Primary practice location

1642 Clarkson Rd
Chesterfield, MO 63017-4601

Mailing address

1642 Clarkson Rd
Chesterfield, MO 63017-4601
Phone (636) 728-1540

Other practice location 1

2800 College Ave
Alton, IL 62002-4742
Phone (618) 474-7000

Other names 1

  • Sarah Barrow 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
019.028117ILMDGeneral Practice Dentistry
2020028340MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1720300585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174601",
            "telephone_number": "636-728-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174601",
            "telephone_number": "636-728-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 College Ave",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620024742",
            "country_code": "US",
            "telephone_number": "618-474-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODLIN",
        "first_name": "SARAH",
        "middle_name": "BARROW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028117",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020028340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BARROW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.