Matthew Parrish Sands, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010826 Issued in GA

Practice address

130 N Gross Rd
Ste.122
Kingsland, GA 31548-6262

Phone

(912) 729-4147

Fax

(912) 729-2796

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5744/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033132832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N GROSS RD",
            "address_2": "STE.122",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486262",
            "telephone_number": "912-729-4147",
            "fax_number": "912-729-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N GROSS RD",
            "address_2": "STE.122",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486262",
            "telephone_number": "912-729-4147",
            "fax_number": "912-729-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDS",
        "first_name": "MATTHEW",
        "middle_name": "PARRISH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "010826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judi Taylor Rogers, LCSW
• John Ross, LDO
• Sarah Roupp
• Ruxandra Mares, MD
• Martha Patricia Sanchez-Silva, M.D.
• Carlos Manuel Santiago, PTA
• Christina Monica Scarlett, MSN,APRN, FNP-C
• Lisa Beth Schopf, MS.,CCC-SLP
• Stephanie Schow, FNP
• Jenna R Seay

• General Practice Dentistry in Kingsland, GA
• Providers in Kingsland, GA by specialty
• General Practice Dentistry in Georgia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.