Organization Active NPI

John Sanderson

  • Dentist
  • Elgin, ND
National Provider Identifier
1457769481
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1600 Issued in ND
Legal business name
JOHN SANDERSON
Practice address
306 N Main St
Elgin, ND 58533-7108
Phone
(701) 584-2580
NPI assigned
Jul 22, 2014
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHN SANDERSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
John Sanderson, DDSNPI 1043430796
Title
Owner
Phone
(701) 584-2580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1600 ND Primary

Addresses

Primary practice location

306 N Main St
Elgin, ND 58533-7108

Mailing address

306 N Main St
Elgin, ND 58533-7108
Phone (701) 584-2580

National Provider Directory

National Provider Directory
Part of
John Sanderson

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1457769481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST",
            "city": "ELGIN",
            "state": "ND",
            "postal_code": "585337108",
            "telephone_number": "701-584-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N MAIN ST",
            "city": "ELGIN",
            "state": "ND",
            "postal_code": "585337108",
            "telephone_number": "701-584-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SANDERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN SANDERSON",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-584-2580",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ND",
            "license": "1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.