Active NPI
Sandra O Dee, MD
- Pediatrics Physician
- Orange City, FL
National Provider Identifier
1962474254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME96074
- Practice address
- 947 Town Center Dr
Orange City, FL 32763-8361 - Phone
- (386) 917-0075
- Fax
- (386) 917-0655
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME96074 | FL | Primary |
Addresses
Primary practice location
947 Town Center Dr
Orange City, FL 32763-8361
Mailing address
947 Town Center Dr
Orange City, FL 32763-8361
Phone (386) 917-0075
Other practice location 1
1061 Medical Center Dr
Suite 203
Orange City, FL 32763-8200
Phone (386) 917-0075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145892001 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME96074 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandra Dee MD LLC | Pediatrics | Current | Accepting new patients |
| Sandra Dee MD LLC | Pediatrics | Current | Accepting new patients |
Locations
1061 Medical Center Dr
Ste 203
Orange City, FL 32763
Phone (386) 774-4200
947 Town Center Dr
Orange City, FL 32763
Phone (386) 366-5530
Organizations & group practices 2
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": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1962474254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 TOWN CENTER DR",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638361",
"telephone_number": "386-917-0075",
"fax_number": "386-917-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 TOWN CENTER DR",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638361",
"telephone_number": "386-917-0075",
"fax_number": "386-917-0655"
}
],
"practiceLocations": [
{
"address_1": "1061 Medical Center Dr",
"address_2": "Suite 203",
"address_purpose": "LOCATION",
"city": "Orange City",
"state": "FL",
"postal_code": "327638200",
"country_code": "US",
"telephone_number": "386-917-0075",
"fax_number": "386-917-0655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEE",
"first_name": "SANDRA",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME96074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145892001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.