Individual provider Active NPI

Sandra Jean Ganshaw, RDH

  • Dental Hygienist
  • Albuquerque, NM
National Provider Identifier
1578822607
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH 3281 Issued in NM
Practice address
400 San Felipe St NW
Albuquerque, NM 87104-1370
Phone
(505) 480-7200
NPI assigned
May 9, 2012
Last updated
May 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH 3281 NM Primary
Dental Hygienist 124Q00000X NDO0007 NM

Addresses

Primary practice location

400 San Felipe St NW
Albuquerque, NM 87104-1370

Mailing address

8408 Rancho Vecino CT NW
Albuquerque, NM 87120-5812
Phone (505) 480-7200

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

State licenses

LicenseStateTypeSpecialty
DH 3281NMMDDental Hygienist
NDO0007NMMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandi's Smiles for Miles Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1578822607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 RANCHO VECINO CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205812",
            "telephone_number": "505-480-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SAN FELIPE ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041370",
            "telephone_number": "505-480-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSHAW",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "DH 3281",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": "NDO0007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.