Active NPI
Sanford B. King, D.D.S.
- Periodontics
- Covina, CA
National Provider Identifier
1023037942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 22513
- Practice address
- 219 E Badillo St
Covina, CA 91723-2116 - Phone
- (626) 966-9971
- Fax
- (626) 966-9534
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 22513 | CA | Primary |
Addresses
Primary practice location
219 E Badillo St
Covina, CA 91723-2116
Mailing address
219 E Badillo St
Covina, CA 91723-2116
Phone (626) 966-9971
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22513 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023037942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 E BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232116",
"telephone_number": "626-966-9971",
"fax_number": "626-966-9534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 E BADILLO ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232116",
"telephone_number": "626-966-9971",
"fax_number": "626-966-9534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "SANFORD",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "22513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.