Active NPI
Lucas Sandman, D.D.S.
- Dentist
- Fargo, ND
National Provider Identifier
1649560392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2106
- Practice address
- 2217 University Dr N
Fargo, ND 58102-1817 - Phone
- (701) 237-3517
- NPI assigned
- Apr 14, 2011
- Last updated
- Apr 22, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2106 | ND | Primary |
Addresses
Primary practice location
2217 University Dr N
Fargo, ND 58102-1817
Mailing address
3687 Fairway Rd N
Fargo, ND 58102-1278
Phone (701) 290-0196
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 |
|---|---|---|---|
| 2106 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandman Family Dentistry, LTD | Current | Accepting new patients |
Locations
2217 University Dr N
Fargo, ND 58102
Phone (701) 237-3517
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.
-
- General Practice Dentistry
- Fargo, ND
- NPI 1386982023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1649560392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3687 FAIRWAY RD N",
"city": "FARGO",
"state": "ND",
"postal_code": "581021278",
"telephone_number": "701-290-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2217 UNIVERSITY DR N",
"city": "FARGO",
"state": "ND",
"postal_code": "581021817",
"telephone_number": "701-237-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDMAN",
"first_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-14",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "2106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.