Active NPI
Peter Jonathan Sands, MD
- Dermatology Physician
- Concord, NH
National Provider Identifier
1295753432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9229
- Practice address
- 253 Pleasant St
Concord, NH 03301-7560 - Phone
- (603) 226-2200
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9229 | NH | Primary |
Addresses
Primary practice location
253 Pleasant St
Concord, NH 03301-7560
Mailing address
253 Pleasant St
Concord, NH 03301-7560
Phone (603) 226-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30007004 | Medicaid | NH | |
| 3073754 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Dermatology | Current | Accepting new patients |
Locations
253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200
Interoperability endpoints
- psands@apderm.emadirect.md
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1295753432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017560",
"telephone_number": "603-226-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017560",
"telephone_number": "603-226-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "PETER",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NH",
"license": "9229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30007004",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3073754",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.