Kamilah Sanford, D.D.S., Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KAMILAH SANFORD, D.D.S., INC

Doing business as

Pinole Valley Orthodontics

Practice address

2830 Pinole Valley Rd Ste C
Pinole, CA 94564-1453

Phone

(510) 334-1593

NPI assigned

Jun 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kamilah Sanford, DDSNPI 1841570777

Title

President

Phone

(510) 334-1593

Specialties & licenses 1

Addresses

Other names 1

• PINOLE VALLEY ORTHODONTICS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamilah Ashonti Sanford, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Napa, CA
  • NPI 1841570777
  NPD Authorized official

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

{
    "created_epoch": "1498348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498348800000",
    "number": "1225558869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 WILDROSE CIR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 PINOLE VALLEY RD STE C",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641453",
            "telephone_number": "510-334-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMILAH SANFORD, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-25",
        "last_updated": "2017-06-25",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "KAMILAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-334-1593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINOLE VALLEY ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Pinole, CA
• Providers in Pinole, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2017; 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.