Active NPI
Sandra Carmeci, DDS
- Prosthodontics
- Medford, OR
National Provider Identifier
1114003035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 12018979
- Practice address
- 483 Murphy Road
Medford, OR 97504 - Phone
- (541) 770-4496
- Fax
- (541) 770-4497
- NPI assigned
- Oct 31, 2006
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 12018979 | OR | Primary |
Addresses
Primary practice location
483 Murphy Road
Medford, OR 97504
Mailing address
483 Murphy Road
Medford, OR 97504
Phone (541) 770-4496
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 |
|---|---|---|---|
| 12018979 | OR | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1114003035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 MURPHY ROAD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-770-4496",
"fax_number": "541-770-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 MURPHY ROAD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-770-4496",
"fax_number": "541-770-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMECI",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "OR",
"license": "12018979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.