Individual provider Active NPI

Sarah Chinnery, DMD

  • Dentist
  • Rolla, MO
National Provider Identifier
1922674654
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2022044122 Issued in MO
Practice address
509 E 10TH St
Rolla, MO 65401-3302
Phone
(734) 264-4555
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2022044122 MO Primary
General Practice Dentistry 1223G0001X B1308 SD
General Practice Dentistry 1223G0001X D1308 SD
General Practice Dentistry 1223G0001X DDS-09889 IA

Addresses

Primary practice location

509 E 10TH St
Rolla, MO 65401-3302

Mailing address

PO Box 1010
North Sioux City, SD 57049-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2022044122MOMDDentist
DDS-09889IAMDGeneral Practice Dentistry
B1308SDMDGeneral Practice Dentistry
D1308SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kiersz Dentistry Inc General Practice PastSince Jan 1, 2023 Accepting new patients
Jesse Smith DDS LLC PastSince Jan 1, 2023 Accepting new patients
North Sioux Dental Clinic General Practice PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1922674654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "NORTH SIOUX CITY",
            "state": "SD",
            "postal_code": "570491010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013302",
            "telephone_number": "734-264-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNERY",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2022044122",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "B1308",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1308",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.