Individual provider Active NPI

Gregory Dean Sand, D.M.D.

  • General Practice Dentistry
  • Mobile, AL
National Provider Identifier
1205998820
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3700 Issued in AL
Practice address
5300 Overlook Rd.
Mobile, AL 36618-2331
Phone
(251) 342-6672
Fax
(251) 342-6703
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3700 AL Primary

Addresses

Primary practice location

5300 Overlook Rd.
Mobile, AL 36618-2331

Mailing address

5300 Overlook Rd.
Mobile, AL 36618-2331
Phone (251) 342-6672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208001155 AL Order and Referring Only - DentistPractitioner - Dentist 9537449509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3700ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ricciardone Family Dentistry 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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205998820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 OVERLOOK RD.",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182331",
            "telephone_number": "251-342-6672",
            "fax_number": "251-342-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 OVERLOOK RD.",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182331",
            "telephone_number": "251-342-6672",
            "fax_number": "251-342-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAND",
        "first_name": "GREGORY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.