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DR. SARA SMITH D.D.S.
NPI 1033424403
Dentist - General Practice in Maple Grove, MN

Active since August 10, 2010PECOS Enrolled
12736 BASS LAKE RD, MAPLE GROVE, MN 55369(763) 559-2082 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sara Smith D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SARA SMITH D.D.S. (NPI 1033424403) is an individual general practice provider in Maple Grove, Minnesota, licensed in Minnesota (D12914) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033424403
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SARA SMITHCredential: D.D.S.
Location Address12736 BASS LAKE RDMaple Grove, MN 55369-6307
Mailing Address12736 Bass Lake RdMaple Grove, MN 55369-6307 · (763) 559-2082
Phone(763) 559-2082
Sole ProprietorNo
Enumeration DateAugust 10, 2010
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1033424403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D12914
Definition
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.
12736 BASS LAKE RD, Maple Grove, MN 55369
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Other Names 1

Other Name (5)Dr. Sara Conway D.d.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sara Smith D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD WILLIAM TOPEL DDS
Dentist
12736 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2082
DR. KAYLA BLANEK DDS
Dentist (General Practice)
12736 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2082
DR. MICHAEL PAUL SIEVERT DDS
Dentist
12736 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2082
PDB, DDS, PA
Clinic/Center (Dental)
12736 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Smith's NPI number?

The NPI number for Sara Smith is 1033424403. It was assigned to this individual provider in the NPPES registry on August 10, 2010. The provider is also known as Dr. Sara Conway D.D.S..

Where is Sara Smith located?

Sara Smith practices at 12736 Bass Lake Rd, Maple Grove, MN 55369. The listed phone number is (763) 559-2082.

What is Sara Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sara Smith enrolled in Medicare?

Yes. Sara Smith is registered in the Medicare PECOS enrollment system.

What insurance does Sara Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Sara Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Smith was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.