Active NPI
Gary R. Sanner D.D.S., Inc
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bellflower, CA
National Provider Identifier
1952833998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30470
- Legal business name
- GARY R. SANNER D.D.S., INC
- Practice address
- 10318 Rosecrans Ave
Bellflower, CA 90706-2702 - Phone
- (562) 925-3765
- NPI assigned
- Mar 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Randolph Sanner, D.D.S.
- Title
- Dentist- Orthodontist
- Phone
- (562) 925-3765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30470 | CA | Primary |
Addresses
Primary practice location
10318 Rosecrans Ave
Bellflower, CA 90706-2702
Mailing address
10318 Rosecrans Ave
Bellflower, CA 90706-2702
Phone (562) 925-3765
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490745600000",
"number": "1952833998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10318 ROSECRANS AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907062702",
"telephone_number": "562-925-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10318 ROSECRANS AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907062702",
"telephone_number": "562-925-3765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY R. SANNER D.D.S., INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-29",
"last_updated": "2017-03-29",
"status": "A",
"authorized_official_last_name": "SANNER",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "RANDOLPH",
"authorized_official_title_or_position": "DENTIST- ORTHODONTIST",
"authorized_official_telephone_number": "562-925-3765",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "30470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.