Active NPI
Sandra Derringer, DMD
- Dentist
- Union, KY
National Provider Identifier
1396969762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- KY 7242
- Practice address
- 8667 US Highway 42 Ste 100
Union, KY 41091-8759 - Phone
- (859) 384-0393
- NPI assigned
- Apr 13, 2007
- Last updated
- Sep 15, 2015
- 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 | KY 7242 | KY | Primary |
Addresses
Primary practice location
8667 US Highway 42 Ste 100
Union, KY 41091-8759
Mailing address
9783 Windsor Way
Florence, KY 41042-9203
Phone (859) 746-0296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KY 7242 | Other | KY | STATE ID |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY 7242 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason a. Ford DMD, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1396969762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9783 WINDSOR WAY",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410429203",
"telephone_number": "859-746-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8667 US HIGHWAY 42 STE 100",
"city": "UNION",
"state": "KY",
"postal_code": "410918759",
"telephone_number": "859-384-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERRINGER",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "KY 7242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "KY 7242",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Union, KY
- Michelle Kay Cottingham
- Cumberland Medpsych Consultancy PLLC
- Theresa Ann Danner, ST
- Jennifer Davies, L.M.T
- DC Management and Consulting LLC (Pure Health Chiropractic & Wellness Center)
- Marsha A Eifert-Mangine, PT
- Fannie G Endres, R.N.
- Mary Erickson, MS, CCC-SLP
- Marjorie Anne Erl, M.S., CCC-SLP
- Justin M Fink
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.