Active NPI
Kathy Sellers Sanders, D.M.D.
- Dentist
- Kingsport, TN
National Provider Identifier
1285726356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS5380
- Practice address
- 4623 Fort Henry Dr
Kingsport, TN 37663-2616 - Phone
- (423) 239-7899
- Fax
- (423) 239-0047
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS5380 | TN | Primary |
Addresses
Primary practice location
4623 Fort Henry Dr
Kingsport, TN 37663-2616
Mailing address
4623 Fort Henry Dr
Kingsport, TN 37663-2616
Phone (423) 239-7899
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS5380 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285726356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4623 FORT HENRY DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376632616",
"telephone_number": "423-239-7899",
"fax_number": "423-239-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623 FORT HENRY DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376632616",
"telephone_number": "423-239-7899",
"fax_number": "423-239-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "KATHY",
"middle_name": "SELLERS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS5380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
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.