1699016105 NPI number — SARAH ELIZABETH DEVEAUX D.D.S., MS

NPI Number: 1699016105
Health Care Provider/Practitioner: SARAH ELIZABETH DEVEAUX D.D.S., MS

NPI Number : 1699016105 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699016105",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEVEAUX",
    "FirstName": "SARAH",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.D.S., MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TOWARD",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.D.S.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "ATTN: CREDENTIALS OFFICE 31ST MDG, 31ST DS",
    "SecondLineMailingAddress": "UNIT 6180 BOX 245",
    "MailingAddressCityName": "APO",
    "MailingAddressStateName": "AE",
    "MailingAddressPostalCode": "09604-0245",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "ATTN: CREDENTIALS OFFICE",
    "SecondLinePracticeLocationAddress": "UNIT 6180",
    "PracticeLocationAddressCityName": "APO",
    "PracticeLocationAddressStateName": "AE",
    "PracticeLocationAddressPostalCode": "09604",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-632-5060",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/07/2013",
    "LastUpdateDate": "10/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "D9887",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "D9887",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}