Individual provider Active NPI

Sarah Jane Tanner, RDH, BSDH

  • Dental Hygienist
  • Lakewood, CO
National Provider Identifier
1962028464
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
LOCAL0000698 Issued in CO
Practice address
1190 Everett CT
Lakewood, CO 80215-4829
Phone
(720) 427-7001
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 002024229 CO
Dental Hygienist 124Q00000X LOCAL0000698 CO Primary

Addresses

Primary practice location

1190 Everett CT
Lakewood, CO 80215-4829

Mailing address

1190 Everett CT
Lakewood, CO 80215-4829
Phone (720) 427-7001

Other names 1

  • Sarah Tanner Former name

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
002024229COMDDental Hygienist
LOCAL0000698COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxury Tooth Booth Inc. Dental Hygienist CurrentSince Sep 6, 2020 Accepting new patients
Luxury Wellness Solutions Inc CurrentSince Jun 21, 2020 Accepting new patients

Organizations & group practices 2

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1962028464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 EVERETT CT",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154829",
            "telephone_number": "720-427-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 EVERETT CT",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154829",
            "telephone_number": "720-427-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "RDH, BSDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002024229",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "LOCAL0000698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "TANNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.