Active NPI
Diana Sandu, DMD
- Dentist
- Schenectady, NY
National Provider Identifier
1356639736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 055501
- Practice address
- 600 McClellan St
Schenectady, NY 12304-1009 - Phone
- (518) 382-2270
- Fax
- (518) 347-5222
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 055501 | NY | Primary |
Addresses
Primary practice location
600 McClellan St
Schenectady, NY 12304-1009
Mailing address
600 McClellan St
Schenectady, NY 12304-1009
Phone (518) 347-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150624000879 | NY | Order and Referring Only - Dentist | 8224349733 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055501 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1356639736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MCCLELLAN ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123041009",
"telephone_number": "518-347-5400",
"fax_number": "518-347-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MCCLELLAN ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123041009",
"telephone_number": "518-382-2270",
"fax_number": "518-347-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDU",
"first_name": "DIANA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "055501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.