Active NPI
Robert M Sander, DDS
- General Practice Dentistry
- Cincinnati, OH
National Provider Identifier
1871581371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3014858
- Practice address
- 3012 Glenmore Ave
Suite 107
Cincinnati, OH 45238 - Phone
- (513) 661-4051
- Fax
- (513) 661-4052
- NPI assigned
- Oct 10, 2005
- Reactivated
- Jan 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3014858 | OH | Primary |
| Dentist | 122300000X | 30014858 | OH |
Addresses
Primary practice location
3012 Glenmore Ave
Suite 107
Cincinnati, OH 45238
Mailing address
3012 Glenmore Ave
Suite 107
Cincinnati, OH 45238
Phone (513) 661-4051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30014858 | OH | MD | Dentist |
| 3014858 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert M. Sander, D.D.S., 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.
-
- Dentist
- Cincinnati, OH
- NPI 1801884135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1871581371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 GLENMORE AVE",
"address_2": "SUITE 107",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45238",
"telephone_number": "513-661-4051",
"fax_number": "513-661-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 GLENMORE AVE",
"address_2": "SUITE 107",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45238",
"telephone_number": "513-661-4051",
"fax_number": "513-661-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDER",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2008-01-07",
"deactivation_date": "2005-10-11",
"reactivation_date": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "3014858",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30014858",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.