Individual provider Active NPI

Sarah Elizabeth Mathew, DMD

  • General Practice Dentistry
  • Winter Park, FL
National Provider Identifier
1982198305
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23903 Issued in FL
Practice address
110 S Orlando Ave Ste 10
Winter Park, FL 32789-3656
Phone
(407) 691-3447
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23903 FL Primary

Addresses

Primary practice location

110 S Orlando Ave Ste 10
Winter Park, FL 32789-3656

Mailing address

777 N Orange Ave Apt 539
Orlando, FL 32801-1185
Phone (805) 804-7632

Other practice location 1

3801 W Lake Mary Blvd Unit 109
Lake Mary, FL 32746-6160
Phone (407) 936-3400

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
DN23903FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1982198305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N ORANGE AVE APT 539",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011185",
            "telephone_number": "805-804-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S ORLANDO AVE STE 10",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893656",
            "telephone_number": "407-691-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 W Lake Mary Blvd Unit 109",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327466160",
            "country_code": "US",
            "telephone_number": "407-936-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.