Melissa A Cano Sanderson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38812 Issued in TX

Practice address

505 W Louis Henna Blvd Ste 110a
Austin, TX 78728-1701

Phone

(512) 593-7970

NPI assigned

Aug 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1194452391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 ALDRICH ST APT 342",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231999",
            "telephone_number": "956-312-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W LOUIS HENNA BLVD STE 110A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787281701",
            "telephone_number": "512-593-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO SANDERSON",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38812",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen E Cannon, LPCASSOCIATE, CSC
• Laura Cannon
• Meagan Broussard Cannon, FNP-C
• Rebecca Cannon
• Rhyan G Cannon
• Alicia Magdalena Cano
• Carissa Cano, LPC
• Cassandra Jo Cano, PHARMD
• Jessi Cano, RD, IBCLC
• Lance Donavan Cano

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.