Max Sanacore, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

061992 Issued in NY

Practice address

939 Route 146 Ste 4
Clifton Park, NY 12065-3629

Phone

(518) 631-9771

NPI assigned

Oct 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Adirondack Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clifton Park, NY
  • NPI 1922748177

  Orthodontics and Dentofacial Orthopedics

  NPD

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1144982802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146 STE 4",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146 STE 4",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653629",
            "telephone_number": "518-631-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANACORE",
        "first_name": "MAX",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "061992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darby A Salluzzo, LCSW
• Salvatore J Galluzzo DPM
• Michael A Salzman, M.D.
• Samaritan Hospital of Troy, New York
• Samaritan Hospital of Troy, New York
• Aleyna N Sarap, LMHC
• Saratoga Pet Associates LLC
• Lisa Satalino, PT
• Maria Elizabeth Savallo
• Julie Melissa Sawyer, M.A. CCC-SLP

• All providers in Clifton Park, NY
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.