Active NPI
Maria Domingo Santos, DDS
- Endodontics
- Wright Patterson AFB, OH
National Provider Identifier
1518954247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 30-01-9852
- Practice address
- 4881 Sugar Maple Dr
88MDG/SGDD
Wright Patterson AFB, OH 45433-5546 - Phone
- (937) 257-0500
- NPI assigned
- Sep 27, 2005
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 30-01-9852 | OH | Primary |
Addresses
Primary practice location
4881 Sugar Maple Dr
88MDG/SGDD
Wright Patterson AFB, OH 45433-5546
Mailing address
2694 Lantz Rd
Beavercreek, OH 45434-6627
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1518954247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2694 LANTZ RD",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454346627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"address_2": "88MDG/SGDD",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "454335546",
"telephone_number": "937-257-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "MARIA",
"middle_name": "DOMINGO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "OH",
"license": "30-01-9852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wright Patterson AFB, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.