Individual provider Active NPI

Christopher Bernard Sampair, D.D.S.

  • General Practice Dentistry
  • Sumter, SC
National Provider Identifier
1336177906
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12254 Issued in MN
Practice address
449 Meadowlark St
Shaw AFB
Sumter, SC 29152
Phone
(803) 895-6952
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12254 MN Primary

Addresses

Primary practice location

449 Meadowlark St
Shaw AFB
Sumter, SC 29152

Mailing address

449 Meadowlark St
Sumter, SC 29152
Phone (803) 895-6952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170120000606 MI Order and Referring Only - DentistPractitioner - Dentist 1254613607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12254MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1336177906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 MEADOWLARK ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29152",
            "telephone_number": "803-895-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 MEADOWLARK ST",
            "address_2": "SHAW AFB",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29152",
            "telephone_number": "803-895-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPAIR",
        "first_name": "CHRISTOPHER",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.