Individual provider Active NPI

Sarah Eissa

  • General Practice Dentistry
  • Toledo, OH
National Provider Identifier
1760960702
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025527 Issued in OH
Practice address
5012 Talmadge Rd Ste 100
Toledo, OH 43623-2168
Phone
(419) 474-9611
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025527 OH Primary

Addresses

Primary practice location

5012 Talmadge Rd Ste 100
Toledo, OH 43623-2168

Mailing address

5175 Preston Pkwy W
Perrysburg, OH 43551-7158
Phone (313) 702-0720

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
30.025527OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jon Frankel Dentistry 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1760960702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 PRESTON PKWY W",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517158",
            "telephone_number": "313-702-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 TALMADGE RD STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232168",
            "telephone_number": "419-474-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISSA",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.