Individual provider Active NPI

Michael Sandoz, RD

  • Registered Dietitian
  • New Orleans, LA
National Provider Identifier
1104411008
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2565 Issued in LA
Practice address
1415 Tulane Ave. HC-29
New Orleans, LA 70112
Phone
(504) 988-8468
Fax
(504) 988-4463
NPI assigned
Mar 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2565 LA Primary

Addresses

Primary practice location

1415 Tulane Ave. HC-29
New Orleans, LA 70112

Mailing address

1415 Tulane Ave. HC-29
New Orleans, LA 70112
Phone (504) 988-8468

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msandoz@tulane.edu Tulane University Medical Group

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1104411008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE. HC-29",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-988-8468",
            "fax_number": "504-988-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE. HC-29",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-988-8468",
            "fax_number": "504-988-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOZ",
        "first_name": "MICHAEL",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "2565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msandoz@tulane.edu",
            "affiliation": "Y",
            "affiliationName": "Tulane University Medical Group",
            "address_1": "1415 Tulane Ave. HC-29",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.