Individual provider Active NPI

Michelle Kauffman Sandler, D.M.D.

  • General Practice Dentistry
  • Solana Beach, CA
National Provider Identifier
1710026141
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54075 Issued in CA
Practice address
665 San Rodolfo Dr Ste 117
Solana Beach, CA 92075-2047
Phone
(858) 345-1960
Fax
(858) 345-1291
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54075 CA Primary

Addresses

Primary practice location

665 San Rodolfo Dr Ste 117
Solana Beach, CA 92075-2047

Mailing address

665 San Rodolfo Dr Ste 117
Solana Beach, CA 92075-2047
Phone (858) 345-1960

Other names 1

  • Dr. Michelle Pauline Kauffman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 27, 2016 through Dec 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
54075CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Sandler and Kauffman a Professional Dental Corporation General Practice PastSince Jun 12, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1710026141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 SAN RODOLFO DR STE 117",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752047",
            "telephone_number": "858-345-1960",
            "fax_number": "858-345-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 SAN RODOLFO DR STE 117",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752047",
            "telephone_number": "858-345-1960",
            "fax_number": "858-345-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "MICHELLE",
        "middle_name": "KAUFFMAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KAUFFMAN",
            "middle_name": "PAULINE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Solana Beach, CA

Sources for this page

Verify at the official NPI Registry.