Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790540482 Individual Practitioner Female Practitioner

Sara Lue Johnson

Dentist - General Practice • Flagstaff, AZ

Professional Overview & Biography Verified Profile Summary

Sara Johnson is a registered healthcare professional specializing in Dentist - General Practice in Flagstaff, AZ. Practice services are available at 710 N BEAVER ST BLDG 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

710 N Beaver St Bldg 2

Flagstaff, AZ 860013145

Telephone 2065436365
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Flagstaff, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
39 Specialists

Practicing in Flagstaff, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D012239

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Brittany Tang

Student in an Organized Health Care Education/Training Program

NPI 1093568735

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 24, 2024

Registered at 710 N BEAVER ST BLDG 2, FLAGSTAFF, AZ 860013145 (Tel: 2065436365)

📍
Updated Business Mailing Address June 24, 2024

Registered at 710 N BEAVER ST BLDG 2, FLAGSTAFF, AZ 860013145 (Tel: 2065436365)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2024

Dentist (License #D012239 in AZ)

NPI Profile Active February 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2024

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981956365 (Tel: 2065436365)

📍
Updated Business Mailing Address February 21, 2024

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981956365 (Tel: 2065436365)

👤
Provider Name / Credentials Updated February 21, 2024

Recorded as SARA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 21, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790540482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2024
Last Update: June 24, 2024
Sole Proprietor: No

Mailing Address

710 N Beaver St Bldg 2

Flagstaff, AZ 860013145

Phone: 2065436365

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.