SARA M SMITH (NPI# 1518459072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518459072 |
| Entity Type | Individual |
| Full Name | SARA M SMITH |
| Credential | RDH |
| Practice Address |
636 Broadway St Ne Minneapolis MN 55413 |
| Practice Telephone | 6127461530 |
| Practice Fax Number | 6127461531 |
| Mailing Telephone | 6127461530 |
| Mailing Fax Number | 6127461531 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
H8721 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205497575 | Sara Deanne Smith | Clinic/Center | 1745 Shea Center Dr Ste 445, Highlands Ranch, CO 80129-1537 | 2019-06-26 |
| 1780163014 | Sara Bonita Smith | Licensed Practical Nurse | 909 Us Highway 80 E Apt 5305, Mesquite, TX 75150-5754 | 2018-08-08 |
| 1467940502 | Sara Anne Smith | Speech-Language Pathologist | 2855 Highway 83 Nw, Max, ND 58759-9458 | 2018-04-24 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1861923047 | Sara Jordan Smith | Obstetrics & Gynecology | 15585 Nineteen Mile Road, Clinton Township, MI 48038 | 2017-03-21 |
| 1720529886 | Sara Jane Smith | Contractor | 108 Willow Oak Ct, Simpsonville, SC 29681-4962 | 2017-03-09 |
| 1801334719 | Sara Smith | Marriage & Family Therapist | 9711 Nw 37th St, Same As Above, Hollywood, FL 33024-8009 | 2017-02-10 |
| 1679019699 | Sara Smith | Registered Nurse | 9691 Rosalie Loop, Keithville, LA 71047-6108 | 2017-01-13 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| Street Address |
636 BROADWAY ST NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225193741 | Azar Hemmaty | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413-2150 | 2006-12-26 |
| 1568074607 | Abdulkadir Egeh | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2020-08-19 |
| 1568071140 | Alyson Farley | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2020-07-29 |
| 1558835652 | Sara Ann Nelson | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2019-01-11 |
| 1164902847 | Melissa Jo Casper | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2151 | 2018-08-21 |
| 1356836761 | Megha Harenkumar Agrawal | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-06-27 |
| 1073013322 | Nicole Mathew | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-02-13 |
| 1447759261 | Vanessa Anderson | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-02-07 |
| 1285141515 | Sylvia Romosz | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-01-09 |
| 1790292035 | Tamara Ellingson | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076073 | Rae Ann Ann Swanson | Dentist | 755 Florida Ave S, Minneapolis, MN 55426-1784 | 2020-09-02 |
| 1407973605 | Childrens Dental Services Inc | Dentist | 636 Broadway St. Ne, Minneapolis, MN 55413 | 2007-03-23 |
| 1669086716 | Beth Renee Hiner Baribeau | Dentist | 755 Florida Ave S, Minneapolis, MN 55426-1784 | 2020-09-06 |
| 1801336433 | Jayme Jo Noeske | Dentist | 4243 4th Ave S, Minneapolis, MN 55409-2113 | 2017-03-01 |
| 1679911531 | Adt Kids Dental Services Pa | Dentist | 2232 Hennepin Ave, Minneapolis, MN 55405-2737 | 2013-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083178149 | Lift Dental Pllc | Dentist | 124 2nd St S Ste 101, Stillwater, MN 55082-5179 | 2019-01-23 |
| 1669842662 | Children's Dental Services | Dentist | 229 W Lake St, Chisholm, MN 55719 | 2015-10-02 |
| 1407224827 | Children's Dental Services | Dentist | 325 N Sibley Ave, Litchfield, MN 55355-2150 | 2015-09-02 |
| 1194095778 | Matthew Allen Olson | Dentist | 715 11th St N Ste 106b, Moorhead, MN 56560-2000 | 2012-01-12 |
| 1801118039 | Omar Dyab Dds Pa | Dentist | 13590 Northdale Blvd, Suite 300, Rogers, MN 55374-2150 | 2010-02-15 |
| 1437287679 | Mississippi Headwaters Area Dental Health Center, Inc. | Dentist | 616 America Ave Nw Ste 340, Attention Mary Marchell, Bemidji, MN 56601-3871 | 2007-03-01 |
| 1205991866 | Fergus Falls Dental Group | Dentist | 1121 Pebble Lake Rd, Fergus Falls, MN 56537 | 2006-12-26 |
| 1437238052 | Tracey Roseann Charles | Dentist | 9345 Calypso Trail Nw, Bemidji, MN 56601 | 2006-11-03 |
| 1386722585 | William Lynn Canada | Dentist | 619 Kay Ave Se, Bemidji, MN 56601-3638 | 2006-11-02 |
| 1790795821 | Great Lakes Childrens Dental Care Pa | Dentist | 2710 Piedmont Avenue, Duluth, MN 55811 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55413 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.