Timothy Sanders, D.D.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

091001682 Issued in IL

Practice address

950 N Western Ave
Lake Forest, IL 60045-1742

Phone

(847) 234-0344

Fax

(847) 234-0568

NPI assigned

Mar 23, 2010

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1912221763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451742",
            "telephone_number": "847-234-0344",
            "fax_number": "847-234-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451742",
            "telephone_number": "847-234-0344",
            "fax_number": "847-234-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "091001682",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "091001682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Saltzman, MD
• Leonard Erwin Saltzman, D.D.S.
• Sand Point Equity LLC (Acasa Senior Care)
• Kathryn Sandberg, PT
• Ryan T Sanders, RD, LDN.
• Cynthia Marie Sanderson, PT
• Jennifer Sanderson, SLP
• Heather Anne Sandler, APRN, CNP
• Jianna Dominique Santello, LCSW
• Rosemary Santoro, D.D.S

• Orthodontics and Dentofacial Orthopedics Dentistry in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.