Individual provider Active NPI

Frank Conklin Sammis III, DDS MPH

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1760599039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12061 Issued in TX
Practice address
7744 Broadway
Suite #203
San Antonio, TX 78209-3262
Phone
(210) 828-4990
Fax
(210) 828-0555
NPI assigned
Aug 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12061 TX Primary

Addresses

Primary practice location

7744 Broadway
Suite #203
San Antonio, TX 78209-3262

Mailing address

7744 Broadway
Suite #203
San Antonio, TX 78209-3262
Phone (210) 828-4990

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12061TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760599039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7744 BROADWAY",
            "address_2": "SUITE #203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093262",
            "telephone_number": "210-828-4990",
            "fax_number": "210-828-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7744 BROADWAY",
            "address_2": "SUITE #203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093262",
            "telephone_number": "210-828-4990",
            "fax_number": "210-828-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMIS",
        "first_name": "FRANK",
        "middle_name": "CONKLIN",
        "name_suffix": "III",
        "credential": "DDS MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.