Komal Sampat, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040466 Issued in PA

Practice address

Ambler Dental Care
602 South Bethlehem Pike, C2
Ambler, PA 19468

Phone

(215) 643-1122

NPI assigned

Jan 6, 2016

Last updated

May 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ambler Dental Care GPS LLC

  • General Practice Dentistry
  • Ambler, PA
  • NPI 1154126860
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1053777037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AMBLER DENTAL CARE",
            "address_2": "602 SOUTH BETHLEHEM PIKE, C2",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "19468",
            "telephone_number": "215-643-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMBLER DENTAL CARE",
            "address_2": "602 SOUTH BETHLEHEM PIKE, C2",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "19468",
            "telephone_number": "215-643-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPAT",
        "first_name": "KOMAL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040466",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Rae Sacks, RD, LDN
• Mansi Sadadiwala, PHARMD
• Sage and Soul Wellness LLC
• Dana Saliyev
• Reetu Depani Saltzman, OTR
• Charles G. Sandilos, D.M.D.
• William James Sandilos, D.M.D.
• Adriana Lynn Alosa Sangine, MS ED
• Jacquelyn Marie Sassaman, PHARM.D.
• Kristina Anne Satterfield, AGPCNP-BC

• General Practice Dentistry in Ambler, PA
• Providers in Ambler, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.