Individual provider Active NPI

Danny Sanovich, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
National Provider Identifier
1124476635
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
35914 Issued in TX
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

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
DRP1571FLMDOral and Maxillofacial Surgery (Dentist)
35914TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.