Organization Active NPI

Paulette Sanford DDS, PLLC

  • Customized Equipment (DME)
  • Kyle, TX
National Provider Identifier
1336778737
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PAULETTE SANFORD DDS, PLLC
Doing business as
Kohlers Crossing Dental Sleep and Airway
Practice address
4221 Benner Ste 200
Kyle, TX 78640-2221
Phone
(512) 593-1764
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Dr. Paulette Sanford, DDSNPI 1932242815
Title
Owner/Dentist
Phone
(510) 914-9665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

4221 Benner Ste 200
Kyle, TX 78640-2221

Mailing address

4221 Benner Ste 200
Kyle, TX 78640-2221
Phone (512) 593-1764

Other names 1

  • Kohlers Crossing Dental Sleep and Airway Doing business as

National Provider Directory

National Provider Directory

Locations

4221 Benner
Kyle, TX 78640
Phone (512) 596-4883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1336778737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 BENNER STE 200",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402221",
            "telephone_number": "512-593-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 BENNER STE 200",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402221",
            "telephone_number": "512-593-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULETTE SANFORD DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "510-914-9665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kohlers Crossing Dental Sleep and Airway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kohlers Crossing Dental Sleep and Airway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.