Active NPI
Sreelekha Sama, D.D.S
- General Practice Dentistry
- Addison, IL
National Provider Identifier
1528181575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019026520
- Practice address
- 190 N Swift Rd
Addison, IL 60101-1476 - Phone
- (630) 627-7626
- NPI assigned
- Apr 6, 2007
- Last updated
- Mar 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019026520 | IL | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 019.026520 | IL |
Addresses
Primary practice location
190 N Swift Rd
Addison, IL 60101-1476
Mailing address
190 N Swift Rd
Addison, IL 60101-1476
Phone (630) 627-7626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.026520 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vna Health Care | Current | Accepting new patients | |
| Vna Health Care | Current | Accepting new patients |
Locations
400 N Highland Ave
Aurora, IL 60506
Interoperability endpoints
- ssama589605@direct.ochin.org
Organizations & group practices 3
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.
-
- General Practice Physician
- Aurora, IL
- NPI 1508826983
-
- Federally Qualified Health Center (FQHC)
- Aurora, IL
- NPI 1700910981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1528181575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 N SWIFT RD",
"city": "ADDISON",
"state": "IL",
"postal_code": "601011476",
"telephone_number": "630-627-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 N SWIFT RD",
"city": "ADDISON",
"state": "IL",
"postal_code": "601011476",
"telephone_number": "630-627-7626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMA",
"first_name": "SREELEKHA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019026520",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "019.026520",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.