Active NPI
Jasmina Saric, DMD
- Dentist
- Lorain, OH
National Provider Identifier
1881052272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021179
- Practice address
- 1205 Broadway
Lorain, OH 44052-3409 - Phone
- (440) 240-1655
- Fax
- (440) 240-1655
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
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.
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1033937214
-
- Federally Qualified Health Center (FQHC)
- Milan, OH
- NPI 1124787122
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1164060372
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1184441081
-
- Federally Qualified Health Center (FQHC)
- Huron, OH
- NPI 1205692753
-
- Federally Qualified Health Center (FQHC)
- Berlin Heights, OH
- NPI 1235898321
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1265959597
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1306651237
-
- Federally Qualified Health Center (FQHC)
- Norwalk, OH
- NPI 1659979219
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1689970527
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Castalia, OH
- NPI 1699380725
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1831343805
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1902323223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190312002649 | OH | Order and Referring Only - Dentist | 1254671167 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021179 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901021179 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1205 Broadway
Lorain, OH 44052-3409
Mailing address
1205 Broadway
Lorain, OH 44052-3409
Phone (440) 240-1655
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0315145 | Medicaid | OH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2018.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1881052272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 BROADWAY",
"city": "LORAIN",
"state": "OH",
"postal_code": "440523409",
"telephone_number": "440-240-1655",
"fax_number": "440-240-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 BROADWAY",
"city": "LORAIN",
"state": "OH",
"postal_code": "440523409",
"telephone_number": "440-240-1655",
"fax_number": "440-240-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARIC",
"first_name": "JASMINA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901021179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0315145",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.