Individual provider Active NPI

Sara Lynn Dupont Deno, DC

  • Chiropractor
  • Escanaba, MI
National Provider Identifier
1831173731
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008928 Issued in MI
Practice address
429 S 10TH St Ste 5
Escanaba, MI 49829-3315
Phone
(906) 233-7487
Fax
(855) 307-0173
NPI assigned
Dec 5, 2005
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008928 MI Primary
Chiropractor 111N00000X 4114-012 WI

Addresses

Primary practice location

429 S 10TH St Ste 5
Escanaba, MI 49829-3315

Mailing address

429 S 10TH St Ste 5
Escanaba, MI 49829-3315
Phone (906) 233-7487

Other identifiers 2

IdentifierTypeStateIssuer
144865956MedicaidMI
144824882MedicaidMI

Other names 1

  • Sara Dupont Lynn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050831000830 MI Practitioner - Chiropractic 1153353933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

W3453 US Hwy 2/41
Spalding, MI 49886-9753
Phone (906) 497-4126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008928MIMDChiropractor
4114-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hearts & Hands Family Chiropractic, P.C. Chiropractor CurrentSince Jul 1, 2005 Accepting new patients

Locations

429 S 10th St
Ste 5
Escanaba, MI 49829
Phone (906) 233-7487

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1831173731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S 10TH ST STE 5",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293315",
            "telephone_number": "906-233-7487",
            "fax_number": "855-307-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S 10TH ST STE 5",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293315",
            "telephone_number": "906-233-7487",
            "fax_number": "855-307-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENO",
        "first_name": "SARA",
        "middle_name": "LYNN DUPONT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008928",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4114-012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144865956",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144824882",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "LYNN",
            "middle_name": "DUPONT",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.