Active NPI
Jean Louise Sanders, DDS
- Public Health Dentistry
- Dallas, TX
National Provider Identifier
1649364225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 17716
- Practice address
- 4012 Cedar Springs Rd.
Dallas, TX 75219-3520 - Phone
- (214) 528-2336
- Fax
- (214) 528-8436
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 17716 | TX | Primary |
Addresses
Primary practice location
4012 Cedar Springs Rd.
Dallas, TX 75219-3520
Mailing address
4012 Cedar Springs Rd.
Dallas, TX 75219-3520
Phone (214) 528-2336
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17716 | TX | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Center of Dallas | 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 and National Provider Directory roles.
-
- Community Health Clinic/Center
- Dallas, TX
- NPI 1851419741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241740800000",
"number": "1649364225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 CEDAR SPRINGS RD.",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193520",
"telephone_number": "214-528-2336",
"fax_number": "214-528-8436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 CEDAR SPRINGS RD.",
"city": "DALLAS",
"state": "TX",
"postal_code": "752193520",
"telephone_number": "214-528-2336",
"fax_number": "214-528-8436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JEAN",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2009-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "TX",
"license": "17716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.