Individual provider Active NPI

Sarah Ann Shoffstall-Cone, DDS

  • Dentist
  • Anchorage, AK
National Provider Identifier
1750400099
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1182 Issued in AK
Practice address
4115 Ambassador Dr
Anchorage, AK 99508-5928
Phone
(907) 729-5607
NPI assigned
Mar 28, 2007
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-022199 OH
Dentist 122300000X 1182 AK Primary

Addresses

Primary practice location

4115 Ambassador Dr
Anchorage, AK 99508-5928

Mailing address

4115 Ambassador Dr
Anchorage, AK 99508-5928
Phone (907) 729-5607

Other practice location 1

829 Chief Eddie Hoffman Highway
Bethel, AK 99559
Phone (907) 543-6229

Other identifiers 1

IdentifierTypeStateIssuer
DD5025MedicaidAK

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
30-022199OHMDDentist
1182AKMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1750400099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 AMBASSADOR DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085928",
            "telephone_number": "907-729-5607",
            "fax_number": "907-729-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 AMBASSADOR DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085928",
            "telephone_number": "907-729-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 Chief Eddie Hoffman Highway",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "AK",
            "postal_code": "99559",
            "country_code": "US",
            "telephone_number": "907-543-6229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOFFSTALL-CONE",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-022199",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD5025",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.