Sara Wolfe Spector, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

019.032674 Issued in IL

Practice address

5454 N Tall Oaks Dr
Long Grove, IL 60047-5065

Phone

(614) 353-4894

NPI assigned

Nov 14, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Alabama Orthodontic Partners, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Helena, AL
  • NPI 1881240406
  NPD (past)

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1730333949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 N TALL OAKS DR",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475065",
            "telephone_number": "614-353-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 N TALL OAKS DR",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475065",
            "telephone_number": "614-353-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "SARA",
        "middle_name": "WOLFE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019.032674",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019032674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Sobkowicz, DO
• Yuriy Sonevitskiy, CSA
• Ranjana P Soorya, MD
• Jenna Spaeth, PA-C
• Reginald Lafate Spears, M.D.
• William Staehle, M.D.
• Joanna Janina Staniszewski, MSN, APRN, AGNP-BC
• Matthew Stiefel, ATC
• Viktoriya Stupnytska
• April Tagle, OTR/L

• Orthodontics and Dentofacial Orthopedics Dentistry in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.