Active NPI
David Eric Sandberg, DPM
- Podiatrist
- Turners Falls, MA
National Provider Identifier
1285707125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PD1799
- Practice address
- 1 Burnham Street
Turners Falls, MA 01376 - Phone
- (413) 774-2928
- Fax
- (413) 665-0584
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PD1799 | MA | Primary |
Addresses
Primary practice location
1 Burnham Street
Turners Falls, MA 01376
Mailing address
PO Box 66
South Deerfield, MA 01373
Phone (413) 774-2928
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y70816 | Other | MA | BCBS |
| 0362204 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1799 | MA | MD | Optician |
| PD1799 | MA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lathrop Home | Past | Accepting new patients | |
| West Central Family & Counseling, LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
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- West Springfield, MA
- NPI 1801834205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285707125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66",
"city": "SOUTH DEERFIELD",
"state": "MA",
"postal_code": "01373",
"telephone_number": "413-774-2928",
"fax_number": "413-665-0584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BURNHAM STREET",
"city": "TURNERS FALLS",
"state": "MA",
"postal_code": "01376",
"telephone_number": "413-774-2928",
"fax_number": "413-665-0584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDBERG",
"first_name": "DAVID",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "PD1799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y70816",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0362204",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Turners Falls, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.