Jennifer Sarsland, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2101 Issued in ND

Practice address

608 Highway 12 W
Bowman, ND 58623-4507

Phone

(701) 523-3255

NPI assigned

Jun 30, 2011

Last updated

Jun 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 28, 2015 through Dec 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Prairie Dental Inc

  • Dentist
  • Bowman, ND
  • NPI 1942579081
  Authorized official Same address or phone

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1841587615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HIGHWAY 12 W",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234507",
            "telephone_number": "701-523-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HIGHWAY 12 W",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234507",
            "telephone_number": "701-523-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARSLAND",
        "first_name": "JENNIFER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Therapy Center PLLC
• Phoenix Therapy Center, LLC
• Prairie Dental Inc
• Bailey Quintanilla
• Elizabeth Reiten, FNP
• Debra Schade
• Roma Schade
• Alexander Shatalov, PHARMD
• Southwest Health Care Services (Southwest Medical Clinic)
• Southwest Healthcare Services

• Dentist in Bowman, ND
• Providers in Bowman, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.