Matthew Sanders DDS, Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

56479 Issued in CA

Legal business name

MATTHEW SANDERS DDS, INC.

Practice address

2483 Sunrise Blvd
Gold River, CA 95670-4344

Phone

(916) 635-5717

Fax

(916) 635-1475

NPI assigned

Nov 13, 2010

Last updated

Jan 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Allen Sanders, DDSNPI 1184874893

Title

President

Phone

(916) 635-5717

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Allen Sanders, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gold River, CA
  • NPI 1184874893
  NPD Authorized official

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1932400579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 SUNRISE BLVD STE 114",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704344",
            "telephone_number": "916-635-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 SUNRISE BLVD",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704344",
            "telephone_number": "916-635-5717",
            "fax_number": "916-635-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW SANDERS DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-13",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-635-5717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "56479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Gold River, CA
• Providers in Gold River, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.