Kendall Thomas Sands

Primary specialty

DentistTaxonomy code 122300000X

License

12013328A Issued in IN

Practice address

508 Indiana Ave # 3106
Indianapolis, IN 46202-3106

Phone

(317) 269-0402

NPI assigned

Mar 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kendall.sandsdmd.p1@direct.gpha.nextgenshare.com

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1861027732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAXON AVE APT 1003",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694688",
            "telephone_number": "478-718-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 INDIANA AVE # 3106",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023106",
            "telephone_number": "317-269-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Faxon Ave Apt 1003",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021694688",
            "country_code": "US",
            "telephone_number": "478-718-9942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDS",
        "first_name": "KENDALL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36005",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013328A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica T Sandoval
• Sandra Home Care LLC
• Amanda Jean Ann Sands, MSCCCSLP
• Brittany Lynn Sands
• Jonathan Bader Sands, M.D.
• Melody E Sands, N.P.
• Vincentia Sandy
• Erica Jane Sanford, M.A. CCC-SLP
• Francis Sanford
• Michael William Sanford, MD

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.