Douglas Philip Sinn, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

9255 Issued in TX

Practice address

1752 Broad Park Cir N
#100
Mansfield, TX 76063-7821

Phone

(817) 225-3223

Fax

(817) 225-0242

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Beyond 35 LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Mansfield, TX
  • NPI 1285345736
  NPD (past)
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1780632307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 BROAD PARK CIR N",
            "address_2": "#100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637821",
            "telephone_number": "817-225-3223",
            "fax_number": "817-225-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 BROAD PARK CIR N",
            "address_2": "#100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637821",
            "telephone_number": "817-225-3223",
            "fax_number": "817-225-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINN",
        "first_name": "DOUGLAS",
        "middle_name": "PHILIP",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "9255",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "9255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130652410",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Simonetti
• Simpo Group Inc
• Karen Sinclair
• Hayam Sindy
• Rosy Singh, DDS
• Sherry L Sixta, MD
• Amy Skipper, M.S. CCC-SLP
• Rachel Michelle Slack, LPC
• SLH Mansfield, LLC
• SMD Physical Therapy PLLC

• Oral & Maxillofacial Surgery (D.M.D.) in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.