Sandpiper Dental P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019-021716 Issued in IL

Legal business name

SANDPIPER DENTAL P.C.

Practice address

1N141 County Farm Rd
Suite 150
Winfield, IL 60190-2032

Phone

(630) 588-1700

Fax

(630) 588-1706

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Lao

Title

President

Phone

(630) 588-1700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209772800000",
    "number": "1427190818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1N141 COUNTY FARM RD",
            "address_2": "SUITE 150",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902032",
            "telephone_number": "630-588-1700",
            "fax_number": "630-588-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1N141 COUNTY FARM RD",
            "address_2": "SUITE 150",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902032",
            "telephone_number": "630-588-1700",
            "fax_number": "630-588-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDPIPER DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-05-03",
        "status": "A",
        "authorized_official_last_name": "LAO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-588-1700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-021716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahwish Hussain Saim, M.D.
• Shahnur Saiyad, D.O
• Anoosh Salman, M.D
• John T Samuels, MD
• Lauren Elaine Sanchez, APRN, CNP
• Erin Sands, PA-C
• Julie Ann Sanfilippo, REGISTERED DIETITIAN
• Melissa L Santerre, AU.D.
• Maria F Sarullo, FNP-C
• Mayur Saujani, MD

• Dentist in Winfield, IL
• Providers in Winfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2008; 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.