Active NPI
Danny Sanovich, D.M.D
- Oral and Maxillofacial Surgery (Dentist)
- Dallas, TX
National Provider Identifier
1124476635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 35914
- Practice address
- 12740 Hillcrest Rd Ste 100
Dallas, TX 75230-2050 - Phone
- (972) 776-4888
- Fax
- (972) 833-7001
- NPI assigned
- May 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DRP1571 | FL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 35914 | TX | Primary |
Addresses
Primary practice location
12740 Hillcrest Rd Ste 100
Dallas, TX 75230-2050
Mailing address
12740 Hillcrest Rd Ste 100
Dallas, TX 75230-2050
Phone (972) 776-4888
Other practice location 1
1600 SW Archer Rd # D7-6
Gainesville, FL 32610-0416
Phone (352) 273-6750
Other names 1
- Dr. Daniel Sanovich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 8, 2021 through Jun 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRP1571 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 35914 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Frida | Past | 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.
-
- Dentist
- Gainesville, FL
- NPI 1629429204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1124476635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12740 HILLCREST RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302050",
"telephone_number": "972-776-4888",
"fax_number": "972-833-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12740 HILLCREST RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302050",
"telephone_number": "972-776-4888",
"fax_number": "972-833-7001"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd # D7-6",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326100416",
"country_code": "US",
"telephone_number": "352-273-6750",
"fax_number": "352-392-7609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANOVICH",
"first_name": "DANNY",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DRP1571",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "35914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "SANOVICH",
"prefix": "DR.",
"credential": "D.M.D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.