Sarah Ruth Laster, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9627 Issued in OR

Practice address

1769 NW Kings Blvd
#8
Corvallis, OR 97330-1905

Phone

(541) 757-0755

NPI assigned

Jul 27, 2010

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1770897233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19723 HIGHWAY 99",
            "address_2": "STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366079",
            "telephone_number": "425-775-3456",
            "fax_number": "425-775-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 NW KINGS BLVD",
            "address_2": "#8",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301905",
            "telephone_number": "541-757-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTER",
        "first_name": "SARAH",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25705",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Larios, LCSW
• Nicole Marie Larroza
• Jessica Larsen, LMT
• Joseph Ryan Larson, CADC-R
• Kate Larson, LMT
• Tommy Gale Laster Jr., D.D.S.
• Dominic Christepher Lathos
• Victoria Ellen Lathos
• Austin F Lau, PHD
• Mimi Raychelle Launder-Bryson

• General Practice Dentistry in Corvallis, OR
• Providers in Corvallis, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.