Douglas Sconia Sanford Jr.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

10292 Issued in NC

Practice address

127 Kingston Dr
Chapel Hill, NC 27514-1650

Phone

(919) 933-9494

NPI assigned

Jul 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1659636736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 KINGSTON DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141650",
            "telephone_number": "919-933-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 KINGSTON DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141650",
            "telephone_number": "919-933-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Hampton Pt",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272789012",
            "country_code": "US",
            "telephone_number": "919-644-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "DOUGLAS",
        "middle_name": "SCONIA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10292",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "10292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659636736",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keia R Sanderson, MD
• Kyle M Sandiford
• Robert S Sandler, MD
• Tony O Sandstrom, CRNA
• Alan Mark Sanfilippo, PH.D.
• Anuj Pranav Sanghvi, MD CANDIDATE
• Hanna K Sanoff, MD
• Robin Sansing, MSW, LCSW
• Vivi Diana Santana-Bueno
• Giulia Santangelo

• Public Health Dentistry in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Public Health Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.