Active NPI
Dan S Sanders III, M.D.
- Allergy & Immunology Physician
- Nashville, TN
National Provider Identifier
1174714703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 12279
- Practice address
- 300 20TH Ave N
Suite 100
Nashville, TN 37203-2131 - Phone
- (615) 340-4731
- Fax
- (615) 340-4729
- NPI assigned
- Aug 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 12279 | TN | Primary |
Addresses
Primary practice location
300 20TH Ave N
Suite 100
Nashville, TN 37203-2131
Mailing address
PO Box 2315
Skyland, NC 28776-2315
Phone (828) 575-2644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I032230 | Other | TN | MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12279 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric and Adult Allergy Associates, P.C. | 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.
-
- Specialist
- Nashville, TN
- NPI 1952367765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1174714703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2315",
"city": "SKYLAND",
"state": "NC",
"postal_code": "287762315",
"telephone_number": "828-575-2644",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 20TH AVE N",
"address_2": "SUITE 100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032131",
"telephone_number": "615-340-4731",
"fax_number": "615-340-4729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "DAN",
"middle_name": "S",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TN",
"license": "12279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "103I032230",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.