Individual provider Active NPI

Erica Lynette Sanford, D.M.D.

  • General Practice Dentistry
  • Mount Pleasant, WI
National Provider Identifier
1356286678
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6002281-15 Issued in WI
Practice address
2860 S Green Bay Rd Ste 104
Mount Pleasant, WI 53406-4962
Phone
(262) 886-9700
Fax
(262) 554-1629
NPI assigned
Apr 22, 2026
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6002281-15 WI Primary

Addresses

Primary practice location

2860 S Green Bay Rd Ste 104
Mount Pleasant, WI 53406-4962

Mailing address

1070 S 70TH St Unit 2324
West Allis, WI 53214-3196
Phone (260) 343-1573

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

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1356286678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 S 70TH ST UNIT 2324",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143196",
            "telephone_number": "260-343-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S GREEN BAY RD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064962",
            "telephone_number": "262-886-9700",
            "fax_number": "262-554-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "ERICA",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6002281-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.