NPIMap

Organization Active NPI

Sri Wellness Center

Doing business as Addison dental care

  • Dentist
  • Addison, IL
National Provider Identifier
1568859338
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.026520 Issued in IL
Legal business name
SRI WELLNESS CENTER
Doing business as
Addison dental care
Practice address
190 N Swift Rd
Suite G
Addison, IL 60101-1476
Phone
(630) 627-7626
NPI assigned
Apr 20, 2015
Last updated
Apr 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Dr. Sreelekha Sama, DDSNPI 1528181575
Title
President
Phone
(630) 627-7626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.026520 IL Primary

Addresses

Primary practice location

190 N Swift Rd
Suite G
Addison, IL 60101-1476

Mailing address

190 N Swift Rd
Suite G
Addison, IL 60101
Phone (630) 627-7626

Other names 1

  • Addison dental care Doing business as

National Provider Directory

National Provider Directory

Locations

190 N Swift Rd
Ste G
Addison, IL 60101
Phone (630) 627-7626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1568859338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N SWIFT RD",
            "address_2": "SUITE G",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "60101",
            "telephone_number": "630-627-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N SWIFT RD",
            "address_2": "SUITE G",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601011476",
            "telephone_number": "630-627-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "SAMA",
        "authorized_official_first_name": "SREELEKHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-627-7626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.026520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addison dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 20, 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.