Individual provider Active NPI

Jayne Sanchez, DDS

  • General Practice Dentistry
  • Mandeville, LA
National Provider Identifier
1871684159
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5059 Issued in LA
Practice address
2 Saint Ann Dr
Suite 5
Mandeville, LA 70471-3418
Phone
(985) 727-2300
Fax
(985) 727-2370
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5059 LA Primary

Addresses

Primary practice location

2 Saint Ann Dr
Suite 5
Mandeville, LA 70471-3418

Mailing address

2 Saint Ann Dr
Suite 5
Mandeville, LA 70471-3418
Phone (985) 727-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160901000588 LA Order and Referring Only - DentistPractitioner - DentistPractitioner - Oral Surgery 3274829197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jayne a Sanchez DDS Family Dentistry General Practice 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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1871684159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT ANN DR",
            "address_2": "SUITE 5",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713418",
            "telephone_number": "985-727-2300",
            "fax_number": "985-727-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT ANN DR",
            "address_2": "SUITE 5",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713418",
            "telephone_number": "985-727-2300",
            "fax_number": "985-727-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.