David Daniel Sandstrom, L.M.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00018242 Issued in WA

Practice address

802 E 29TH Ave Ste 1
Spokane, WA 99203-3201

Phone

(509) 475-8989

NPI assigned

Feb 2, 2007

Last updated

Jan 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1427196112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E 31ST AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033105",
            "telephone_number": "509-475-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E 29TH AVE STE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033201",
            "telephone_number": "509-475-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDSTROM",
        "first_name": "DAVID",
        "middle_name": "DANIEL",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00018242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MA00018242",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Elizabeth Sandifer
• Rosa Sandoval
• Amy R Sandow, LMHCA, LICSWA, SUDPT
• Eryka Latrisse Sandridge, LMHC-FL, LMHCA-WA
• Sebring Oliver Sands, PA-C
• Isabella Lucia Sandusky, LMHCA
• Joseph H. Sanker
• Matthew Sanson
• Thomas Michael Sant, MD
• Micayla Mari Santa Cruz

• Specialist in Spokane, WA
• Providers in Spokane, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.