Sara Banuelos D.D.S SC

Primary specialty

DentistTaxonomy code 122300000X

License

019021895 Issued in IL

Legal business name

SARA BANUELOS D.D.S SC

Practice address

3800 Highland Ave
Suite 108
Downers Grove, IL 60515-1557

Phone

(630) 241-0666

Fax

(630) 241-7275

NPI assigned

Jan 28, 2015

Organization subpart

No

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

Authorized official

Name

Miss Claudia L Ibarra

Title

Administrator

Phone

(630) 241-0666

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.

• Sara E. Banuelos, D.D.S

  • Dentist
  • Downers Grove, IL
  • NPI 1164542429
  NPD (past)

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1285024281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HIGHLAND AVE",
            "address_2": "SUITE 108",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151557",
            "telephone_number": "630-241-0666",
            "fax_number": "630-241-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HIGHLAND AVE",
            "address_2": "SUITE 108",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151557",
            "telephone_number": "630-241-0666",
            "fax_number": "630-241-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA BANUELOS D.D.S SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-241-0666",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annais Antoinette Santiago, MD
• Marshelle M Santoro, RN IBCLC
• Ericah Charity Saoudi
• Rebecca Ann Saour, APRN, CNP
• Jennifer Sapko, MS, RD, LDN, CLC
• Sarah Czopek LLC
• Hussam Saras
• Sophia Sarkos, MD
• Thomas Sarna, DDS
• Noah C Sarros, DPT

• Dentist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.