Active NPI
Christopher Richard Sanker, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Ann Arbor, MI
National Provider Identifier
1346409869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2901019789
- Practice address
- 2058 S. State Street
Suite 100
Ann Arbor, MI 48104 - Phone
- (734) 769-5302
- NPI assigned
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2901019789 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2901019789 | MI |
Addresses
Primary practice location
2058 S. State Street
Suite 100
Ann Arbor, MI 48104
Mailing address
2058 S. State Street
Suite 100
Ann Arbor, MI 48104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150831002009 | MI | Order and Referring Only - Oral Surgery | 4183930571 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019789 | MI | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- csanker23759@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1346409869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2058 S. STATE STREET",
"address_2": "SUITE 100",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2058 S. STATE STREET",
"address_2": "SUITE 100",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48104",
"telephone_number": "734-769-5302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANKER",
"first_name": "CHRISTOPHER",
"middle_name": "RICHARD",
"credential": "DDS, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-09",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MI",
"license": "2901019789",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "2901019789",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.