Individual provider Active NPI

Sara Desouza Iampaglia, DDS

  • Endodontics
  • Naperville, IL
National Provider Identifier
1427484575
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
021002540 Issued in IL
Practice address
2058 University Dr
Naperville, IL 60565-2981
Phone
(847) 337-1860
NPI assigned
Sep 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 021002540 IL Primary

Addresses

Primary practice location

2058 University Dr
Naperville, IL 60565-2981

Mailing address

2058 University Dr
Naperville, IL 60565-2981
Phone (847) 337-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
021002540ILMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1427484575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 UNIVERSITY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652981",
            "telephone_number": "847-337-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 UNIVERSITY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652981",
            "telephone_number": "847-337-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAMPAGLIA",
        "first_name": "SARA",
        "middle_name": "DESOUZA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021002540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.