Andrew James Sampalis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019014671 Issued in IL

Practice address

4560 W 103Rd St
Oak Lawn, IL 60453-4869

Phone

(708) 423-5155

Fax

(708) 423-0719

NPI assigned

May 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1659538445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 W 103RD ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534869",
            "telephone_number": "708-423-5155",
            "fax_number": "708-423-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 W 103RD ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534869",
            "telephone_number": "708-423-5155",
            "fax_number": "708-423-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPALIS",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019014671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Salvino, MD
• Steven Lance Salzman, DO
• Ronald E Sam, D.O.
• Vasantha Samala, M.D.
• Alarmelu Sambandam, D.O.
• Dorsa Samsami, DO
• Angelica Sanchez, D.D.S.
• Derick Joseph Sanchez
• Gabrielle Sanchez, PSY.D
• Ivelisse Sanchez, RN

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• General Practice Dentistry in Illinois

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