Active NPI
Sara Green
- Dental Hygienist
- Rochester, NY
National Provider Identifier
1962806893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 51 021747
- Practice address
- 89 Genesee St
Rochester, NY 14611-3201 - Phone
- (585) 368-3800
- NPI assigned
- Oct 21, 2014
- Last updated
- Apr 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 51 021747 | NY | Primary |
Addresses
Primary practice location
89 Genesee St
Rochester, NY 14611-3201
Mailing address
6571 Blue Cut Rd
#107
Newark, NY 14513-9236
Phone (315) 879-7535
Other practice location 1
6032 Birchwood Ln
Sodus, NY 14551-9514
Phone (315) 879-7535
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51 021747 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1962806893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6571 BLUE CUT RD",
"address_2": "#107",
"city": "NEWARK",
"state": "NY",
"postal_code": "145139236",
"telephone_number": "315-879-7535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 GENESEE ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146113201",
"telephone_number": "585-368-3800"
}
],
"practiceLocations": [
{
"address_1": "6032 Birchwood Ln",
"address_purpose": "LOCATION",
"city": "Sodus",
"state": "NY",
"postal_code": "145519514",
"country_code": "US",
"telephone_number": "315-879-7535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "51 021747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.