Individual provider Active NPI

Juan Luis Sanchez, DA14992

  • Dental Assistant
  • Cambridge, MA
National Provider Identifier
1306777966
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
DA14992 Issued in MA
Practice address
99 Spring St
Cambridge, MA 02141-1815
Phone
(617) 803-3831
NPI assigned
May 25, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X DA14992 MA Primary

Addresses

Primary practice location

99 Spring St
Cambridge, MA 02141-1815

Mailing address

99 Spring St
Cambridge, MA 02141-1815
Phone (617) 803-3831

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

LicenseStateTypeSpecialty
DA14992MAMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Credimedllc Current Accepting new patients

Organizations & group practices 1

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": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1306777966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SPRING ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411815",
            "telephone_number": "617-803-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SPRING ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411815",
            "telephone_number": "617-803-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JUAN",
        "middle_name": "LUIS",
        "credential": "DA14992",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MA",
            "license": "DA14992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.