Mark W Sanford, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011298A Issued in IN

Practice address

253 W Main St
Monrovia, IN 46157-9567

Phone

(317) 996-3391

NPI assigned

Jun 18, 2009

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

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24873/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cville Dental LLC

  • Dental Clinic/Center
  • Crawfordsville, IN
  • NPI 1639870363
  NPD Authorized official
• Sanford Family Dentistry LLC

  • Dental Clinic/Center
  • Greenfield, IN
  • NPI 1275491771
  NPD Authorized official
• Monrovia Dental Clinic, LLC

  • Dental Clinic/Center
  • Monrovia, IN
  • NPI 1134401144
  NPD (past) Authorized official
• East Indy Dental Care, LLC

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1366742371
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1447487392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 W BRODERIE LN",
            "city": "MONROVIA",
            "state": "IN",
            "postal_code": "461576129",
            "telephone_number": "317-996-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 W MAIN ST",
            "city": "MONROVIA",
            "state": "IN",
            "postal_code": "461579567",
            "telephone_number": "317-996-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011298A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Christine Newlin
• Sara Parker, MA, CCC-SLP
• Proud Comfort in-Home Care LLC
• Cindy Raistrick
• Donna Reed
• Coogan Schools, LCSW
• James A Seals, C.PED
• Steven M Seals, CFTS
• Stop in Clinic LLC
• Shawn N Tabelman, RN

• General Practice Dentistry in Monrovia, IN
• Providers in Monrovia, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.

Verify at the official NPI Registry.