SANDRA L. DAVENPORT M.D. – NPI #1912044918
Medical Genetics

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

SANDRA DAVENPORT is a medical geneticist located in BLOOMINGTON, MN. NPPES has assigned the NPI number 1912044918 to SANDRA DAVENPORT on January 30, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207SG0201X from the Health Care Provider Taxonomy code set, which is classified as Medical Genetics, specializing in Clinical Genetics (M.D.)

The NPI profile was previously updated about 13 years ago on Sep 17, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANDRA DAVENPORT below.

NPI Profile for
SANDRA L. DAVENPORT

NPI Number
1912044918
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SANDRA L. DAVENPORT
Credentials
M.D.
Primary location
6109 W 105TH ST
BLOOMINGTON, MN 55438-1833
Phone: (952) 831-5522 Fax: (952) 831-0381
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for SANDRA DAVENPORT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN2034451
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207SG0201X
- Medical Genetics / Clinical Genetics (M.D.) (Primary)
MN 29543
208000000X
- Pediatrics
MN 29543

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.