Organization Active NPI

Hans M Sander MD PA

Doing business as Capitol Dermatology Associates

  • Specialist
  • Austin, TX
National Provider Identifier
1821185190
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G5567 Issued in TX
Legal business name
HANS M SANDER MD PA
Doing business as
Capitol Dermatology Associates
Practice address
11410 Jollyville Rd
Suite 2101
Austin, TX 78759-4097
Phone
(512) 345-8688
Fax
(512) 345-2253
NPI assigned
Oct 6, 2006
Last updated
May 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Dr. Hans M Sander, M.D., P.A.NPI 1285635813
Title
Owner/President
Phone
(512) 345-8688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G5567 TX Primary

Addresses

Primary practice location

11410 Jollyville Rd
Suite 2101
Austin, TX 78759-4097

Mailing address

11410 Jollyville Rd
Suite 2101
Austin, TX 78759-4097
Phone (512) 345-8688

Other names 1

  • CAPITOL DERMATOLOGY ASSOCIATES Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0956786Capitol Dermatology Associates11410 Jollyville Road Suite 2201, Austin, TX 78759Provider-performed microscopyFeb 13, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1821185190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 JOLLYVILLE RD",
            "address_2": "SUITE 2101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594097",
            "telephone_number": "512-345-8688",
            "fax_number": "512-345-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 JOLLYVILLE RD",
            "address_2": "SUITE 2101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594097",
            "telephone_number": "512-345-8688",
            "fax_number": "512-345-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANS M SANDER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "SANDER",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "512-345-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPITOL DERMATOLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.