Individual provider Active NPI

Sandra Tiffany Horner, DDS

  • General Practice Dentistry
  • North Richland Hills, TX
National Provider Identifier
1710097852
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22691 Issued in TX
Practice address
8528 Davis Boulevard
Ste 100
North Richland Hills, TX 76180
Phone
(817) 605-0290
Fax
(817) 605-0280
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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 22691 TX Primary

Addresses

Primary practice location

8528 Davis Boulevard
Ste 100
North Richland Hills, TX 76180

Mailing address

8528 Davis Boulevard
Ste 100
North Richland Hills, TX 76180
Phone (817) 605-0290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160222001129 TX Order and Referring Only - DentistPractitioner - Dentist 5698070191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22691TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1710097852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 DAVIS BOULEVARD",
            "address_2": "STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76180",
            "telephone_number": "817-605-0290",
            "fax_number": "817-605-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8528 DAVIS BOULEVARD",
            "address_2": "STE 100",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76180",
            "telephone_number": "817-605-0290",
            "fax_number": "817-605-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "SANDRA",
        "middle_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.