Sarah Elizabeth Vanderbosch, D.M.D.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

9508 Issued in TN

Practice address

9510 Bonita Beach Rd SE Ste 101
Bonita Springs, FL 34135-4699

Phone

(239) 333-2990

NPI assigned

Jul 9, 2012

Sex

Female

Sole proprietor

Yes

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 WI

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

Practice roles

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.

• Pediatric Dentistry of Bonita

  • Pediatric Dentistry
  • Bonita Springs, FL
  • NPI 1194157453
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1881959658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 11ST SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341179527",
            "telephone_number": "239-776-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 BONITA BEACH RD SE STE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354699",
            "telephone_number": "239-333-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBOSCH",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN20035",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TN",
            "license": "9508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Valdes, APRN, FNP-BC
• Yoelkis Valdes, HIS
• Jorge A Valle, M.D.
• Danielle M Van Curen, OT
• Danielle Van Shaar
• Marlee Vause, PA-C
• Louis A Vazquez
• Vein Specialists
• Jose Raul Venegas, DDS
• Alberto Francisco Vera, M.D.

• Public Health Dentistry in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Public Health Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.