Individual provider Active NPI

Sandra Marie Nemeth, DMD

  • General Practice Dentistry
  • Rolling Hills Estates, CA
National Provider Identifier
1124298179
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41492 Issued in CA
Practice address
827 Deep Valley Dr
206
Rolling Hills Estates, CA 90274-3647
Phone
(310) 377-6944
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 41492 CA Primary

Addresses

Primary practice location

827 Deep Valley Dr
206
Rolling Hills Estates, CA 90274-3647

Mailing address

827 Deep Valley Dr
206
Rolling Hills Estates, CA 90274-3647
Phone (310) 377-6944

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

LicenseStateTypeSpecialty
41492CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael T. Chan DMD Inc. General Practice PastSince Oct 16, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1124298179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "206",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743647",
            "telephone_number": "310-377-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "206",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743647",
            "telephone_number": "310-377-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMETH",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.