Sara Mogensen Schadeberg, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14160 Issued in MN

Practice address

515 Delaware St SE FL 6
Minneapolis, MN 55455-0357

Phone

(612) 625-6444

NPI assigned

Apr 26, 2018

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not 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.

• Personal Care Dentistry

  • General Practice Dentistry
  • Roseville, MN
  • NPI 1639713126
  NPD (past)

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1922596733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 PEONY LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114417",
            "telephone_number": "414-736-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DELAWARE ST SE FL 6",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550357",
            "telephone_number": "612-625-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2442 Mounds View Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551121478",
            "country_code": "US",
            "telephone_number": "763-316-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2233 Hamline Ave N Ste 320",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551135005",
            "country_code": "US",
            "telephone_number": "651-636-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHADEBERG",
        "first_name": "SARA",
        "middle_name": "MOGENSEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Anne Schaber, RN
• Michelle Schabert
• Elizabeth Schacht, M.D.
• Ann Rachel Schachter, BCBA
• Timothy William Schacker, MD
• Diane Schadewald, CNP
• Angela M Schaefer, LPCC
• Jaclyn Rose Schaefer
• Joan Schaefer
• Kathryn Schaefer, 7180-123 LCSW

• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.