Sam Clinic

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SAM CLINIC

Practice address

1701 S Federal Blvd
Denver, CO 80219-4898

Phone

(720) 666-5116

Fax

(303) 934-4036

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Antony N Vanbang, MD

Title

Owner/Medical Director

Phone

(720) 666-5116

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1760014344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194898",
            "telephone_number": "720-666-5116",
            "fax_number": "303-934-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194898",
            "telephone_number": "720-666-5116",
            "fax_number": "303-934-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "VANBANG",
        "authorized_official_first_name": "ANTONY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "720-666-5116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1679747216",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Alan Saltzman, PHARMD
• Emily Marie Saluke, M.D.
• Lauren Salvador, MS - SLP
• Paul A Salyers
• Henry F Salzmann, NP
• Thomandra Shavaun Sam, PH.D.
• Sam'S Club Optical
• Sam'S Club Optical
• Sam'S Club Optical
• Ariel Samach, NP

• Adult Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Adult Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.