Individual provider Active NPI

Sydney Duran Sanford, DMD

  • General Practice Dentistry
  • Starkville, MS
National Provider Identifier
1922625474
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4132-20 Issued in MS
Practice address
301 Hospital Rd
Starkville, MS 39759-2155
Phone
(662) 323-3245
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 4132-20 MS Primary

Addresses

Primary practice location

301 Hospital Rd
Starkville, MS 39759-2155

Mailing address

145 Maddie CV
Steens, MS 39766-5508
Phone (601) 562-1795

Other practice location 1

220 Alabama St
Columbus, MS 39702-5204
Phone (662) 328-5197

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

LicenseStateTypeSpecialty
4132-20MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Starkville Smiles, P.a. CurrentSince Oct 16, 2022 Accepting new patients

Locations

301 Hospital Rd
Starkville, MS 39759
Phone (662) 323-3245

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1922625474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MADDIE CV",
            "city": "STEENS",
            "state": "MS",
            "postal_code": "397665508",
            "telephone_number": "601-562-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592155",
            "telephone_number": "662-323-3245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Alabama St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397025204",
            "country_code": "US",
            "telephone_number": "662-328-5197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "SYDNEY",
        "middle_name": "DURAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4132-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.