Active NPI
Christy S Sanford, MD
- Pediatrics Physician
- Minneapolis, MN
National Provider Identifier
1568498202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 27475
- Practice address
- 3024 Snelling Ave
Minneapolis, MN 55406-1911 - Phone
- (612) 728-1800
- NPI assigned
- Jun 24, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 27475 | MN | Primary |
Addresses
Primary practice location
3024 Snelling Ave
Minneapolis, MN 55406-1911
Mailing address
3024 Snelling Ave
Minneapolis, MN 55406-1911
Phone (612) 775-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060370800 | Medicaid | MN |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27475 | MN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1568498202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 SNELLING AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061911",
"telephone_number": "612-775-4900",
"fax_number": "612-721-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 SNELLING AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061911",
"telephone_number": "612-728-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "CHRISTY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "27475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060370800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.