Individual provider Active NPI

Cary Craig Syamken, D.D.S.

  • Endodontics
  • Sacramento, CA
National Provider Identifier
1700087913
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
56059 Issued in CA
Practice address
1315 Alhambra Blvd
Suite 340
Sacramento, CA 95816-5244
Phone
(916) 736-3101
NPI assigned
May 29, 2007
Last updated
Aug 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 56059 CA Primary

Addresses

Primary practice location

1315 Alhambra Blvd
Suite 340
Sacramento, CA 95816-5244

Mailing address

6737 Whitley Ter
Los Angeles, CA 90068-3222
Phone (214) 497-8344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328002035 CA Order and Referring Only - DentistPractitioner - Dentist 0941507404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas D. Sharples, DDS, Ms, Apc Endodontics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1700087913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 WHITLEY TER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900683222",
            "telephone_number": "214-497-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ALHAMBRA BLVD",
            "address_2": "SUITE 340",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165244",
            "telephone_number": "916-736-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYAMKEN",
        "first_name": "CARY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "56059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.