Active NPI
Karina Madelline Morales Sandoval
- Dental Assistant
- Aberdeen Proving Ground, MD
National Provider Identifier
1013518331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 6455 Machine Street
Aberdeen Proving Ground, MD 21005 - Phone
- (209) 647-8064
- NPI assigned
- Nov 3, 2020
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
6455 Machine Street
Aberdeen Proving Ground, MD 21005
Mailing address
6436 Rodman Rd
Building 4507 Apt 208
Aberdeen Proving Ground, MD 21005
Phone (209) 647-8064
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1013518331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6436 RODMAN RD",
"address_2": "BUILDING 4507 APT 208",
"city": "ABERDEEN PROVING GROUND",
"state": "MD",
"postal_code": "21005",
"telephone_number": "209-647-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6455 MACHINE STREET",
"city": "ABERDEEN PROVING GROUND",
"state": "MD",
"postal_code": "21005",
"telephone_number": "209-647-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES SANDOVAL",
"first_name": "KARINA",
"middle_name": "MADELLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen Proving Ground, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.