Active NPI
Sarah Elizabeth Mathew, DMD
- General Practice Dentistry
- Winter Park, FL
National Provider Identifier
1982198305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN23903
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN23903 | FL | MD | General 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.