Clayton Mark Sandiford, MT

Primary specialty

ContractorTaxonomy code 171W00000X

License

9751 Issued in MA

Practice address

22 Banfield Ave
Boston, MA 02126

Phone

(617) 699-9240

NPI assigned

Mar 19, 2012

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2012.

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1205101565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BANFIELD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021262301",
            "telephone_number": "617-699-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BANFIELD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02126",
            "telephone_number": "617-699-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDIFORD",
        "first_name": "CLAYTON",
        "middle_name": "MARK",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MA",
            "license": "9751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaspreet Singh Sandhu, MD
• Manraj Singh Sandhu
• Preetinder Bawa Sandhu, BDS
• Sahil Sandhu, MD
• Shreen Sandhu, DMD
• William Sandke
• Courtney Nagel Sandler, M.D.
• Dana Loren Sandler, PA-C
• Faryl R Sandler, M.D.
• Lucy A Sandler, M.D.

• All providers in Boston, MA
• Contractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.