David L Sandak, D.D.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10450041-9922 Issued in UT

Practice address

10 Old Mamaroneck Rd
White Plains, NY 10605-1747

Phone

(914) 997-1111

Fax

(914) 421-5589

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1609920628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLD MAMARONECK RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051747",
            "telephone_number": "914-997-1111",
            "fax_number": "914-421-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLD MAMARONECK RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051747",
            "telephone_number": "914-997-1111",
            "fax_number": "914-421-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAK",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "10450041-9922",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "044620-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sancia Health Services
• Sancia Recovery Inc
• Sancia Wellness
• Sancia Wellness Inc.
• Carol Sandak, LCSW BCD
• Diana Sandoval
• Sandra Demopoulos, Lcswr, PLLC
• Brenda M Sands, N.P.
• Kanwalwir Sanghera, MD
• Lindsey Sankin, PH.D.

• Periodontics in White Plains, NY
• Providers in White Plains, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.