Jamie Nicole Sanders, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D010102 Issued in AZ

Practice address

9150 W Indian School Rd Ste 106
Phoenix, AZ 85037-2385

Phone

(623) 877-7800

NPI assigned

Jul 11, 2018

Last updated

Jul 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center Point Dental PLLC

  • Dentist
  • Phoenix, AZ
  • NPI 1407230972
  NPD (past)
• Mesa Modern Dentistry, LLP

  dba Mesa Modern Dentistry

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1477821460
  NPD (past)
• Ronald D. Morgan and Associates,Inc.

  • Dentist
  • Phoenix, AZ
  • NPI 1407063548
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1285120410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850370907",
            "telephone_number": "623-877-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 W INDIAN SCHOOL RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372385",
            "telephone_number": "623-877-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JAMIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia M Sanders, MD
• David Bradford Sanders Jr., MS, CCP
• David Gaston Sanders, MD
• Gregory Sanders, M.D.
• Jacob Wesley Sanders
• Kyle Ashton Sanders, PT, DPT
• Suave De'Wuon Sanders, RKT
• Sue Sanders, LAC
• Takietaha T Sanders, MSN, APRN, FNP-BC
• Tywon Sanders

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.