Organization Active NPI

Sandi L Hamm DDS Cosmetic & Comprehensive Dentistry PA

  • General Practice Dentistry
  • Mansfield, TX
National Provider Identifier
1386280303
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANDI L HAMM DDS COSMETIC & COMPREHENSIVE DENTISTRY PA
Practice address
1833 Cannon Drive
Mansfield, TX 76063
Phone
(817) 477-4441
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Laura Vogelsang
Title
Office Team Lead
Phone
(817) 477-4441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1833 Cannon Drive
Mansfield, TX 76063

Mailing address

1833 Cannon Drive
Mansfield, TX 76063
Phone (817) 477-4441

Other names 1

  • SANDI L HAMM Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191004000988 TX DME Supplier - Oral Surgery - Dentist 1153652235 Practice locations: Mansfield, TX

National Provider Directory

National Provider Directory

Locations

1830 E Broad St
Ste 100
Mansfield, TX 76063
Phone (817) 477-4441

Practitioners & affiliated clinicians

Practitioners 2

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1386280303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 CANNON DRIVE",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-477-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 CANNON DRIVE",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-477-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDI L HAMM DDS COSMETIC & COMPREHENSIVE DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "VOGELSANG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE TEAM LEAD",
        "authorized_official_telephone_number": "817-477-4441"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANDI L HAMM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.