Individual provider Active NPI

Curtis William Sandahl, DDS

  • Dentist
  • Oxnard, CA
National Provider Identifier
1811005663
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35986 Issued in CA
Practice address
500 E Esplanade Dr
Ste 1280
Oxnard, CA 93036-2110
Phone
(805) 485-5331
Fax
(805) 485-5330
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35986 CA Primary

Addresses

Primary practice location

500 E Esplanade Dr
Ste 1280
Oxnard, CA 93036-2110

Mailing address

500 Esplanade Dr
Ste 1280
Oxnard, CA 93036
Phone (805) 485-5331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170203002028 CA Order and Referring Only - DentistPractitioner - Dentist 2567745227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis W Sandahl DDS Inc Dentist Past 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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1811005663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ESPLANADE DR",
            "address_2": "STE 1280",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93036",
            "telephone_number": "805-485-5331",
            "fax_number": "805-485-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ESPLANADE DR",
            "address_2": "STE 1280",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362110",
            "telephone_number": "805-485-5331",
            "fax_number": "805-485-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAHL",
        "first_name": "CURTIS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.