Individual provider Active NPI

Sam Dauahera, DDS

  • Dentist
  • Chicago, IL
National Provider Identifier
1609046705
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027577 Issued in IL
Practice address
6225 W Touhy Ave
Chicago, IL 60646-1105
Phone
(773) 631-8717
Fax
(773) 631-7781
NPI assigned
Mar 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019027577 IL Primary

Addresses

Primary practice location

6225 W Touhy Ave
Chicago, IL 60646-1105

Mailing address

6225 W Touhy Ave
Chicago, IL 60646-1105
Phone (773) 631-8717

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
019027577ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
A Touch of Class Dentistry II Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1609046705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461105",
            "telephone_number": "773-631-8717",
            "fax_number": "773-631-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461105",
            "telephone_number": "773-631-8717",
            "fax_number": "773-631-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUAHERA",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; 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.