Individual provider Active NPI

William C. Sands, DDS

  • Dentist
  • Livermore, CA
National Provider Identifier
1902040694
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22107 Issued in CA
Practice address
511 Escondido Cir
Livermore, CA 94550-5246
Phone
(925) 449-5456
Fax
(925) 449-5460
NPI assigned
Apr 24, 2009
Last updated
Apr 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22107 CA Primary

Addresses

Primary practice location

511 Escondido Cir
Livermore, CA 94550-5246

Mailing address

511 Escondido Cir
Livermore, CA 94550-5246
Phone (925) 449-5456

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
I20160519002172 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193014819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22107CAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1902040694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 ESCONDIDO CIR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945505246",
            "telephone_number": "925-449-5456",
            "fax_number": "925-449-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ESCONDIDO CIR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945505246",
            "telephone_number": "925-449-5456",
            "fax_number": "925-449-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDS",
        "first_name": "WILLIAM",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "22107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.