Sanders Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009302A Issued in IN

Legal business name

SANDERS DENTISTRY, LLC

Practice address

6314 Rucker Rd
Suite B
Indianapolis, IN 46220-4895

Phone

(317) 253-8004

Fax

(317) 253-3861

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Steven Ray Sanders, DDSNPI 1447436969

Title

President

Phone

(317) 253-8004

Specialties & licenses 1

Addresses

Other names 1

• Steven Sanders D.D.S. Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Ray Sanders, D.D.S.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1447436969
  NPD (past) Authorized official

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351382400000",
    "number": "1770858227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 RUCKER RD",
            "address_2": "SUITE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204895",
            "telephone_number": "317-253-8004",
            "fax_number": "317-253-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 RUCKER RD",
            "address_2": "SUITE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204895",
            "telephone_number": "317-253-8004",
            "fax_number": "317-253-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-10-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-253-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009302A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven Sanders D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yasmin Sanchez
• Anne Sandberg, LCSW
• Lisa Marlis Sandbo, RPH
• Victoria Sandefur
• Sanders and Associates. LLC
• Sanders Empowerment Services LLC
• Aaliyah Sanders
• Alicia Nichole Perry Sanders, M.D.
• Alyssa Ashley Sanders, BSN, RN
• Andrew Clark Sanders, D.C.

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.