Organization Active NPI

Sandrik Dental LTD.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1801001177
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANDRIK DENTAL LTD.
Practice address
6234 S Narragansett Ave
Chicago, IL 60638-4233
Phone
(773) 586-3456
Fax
(773) 586-1277
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark R Sandrik, DDS
Title
Dentist
Phone
(773) 586-3456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6234 S Narragansett Ave
Chicago, IL 60638-4233

Mailing address

6234 S Narragansett Ave
Chicago, IL 60638-4233
Phone (773) 586-3456

National Provider Directory

National Provider Directory

Locations

6234 S Narragansett Ave
Chicago, IL 60638
Phone (773) 586-3456

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801001177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 S NARRAGANSETT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384233",
            "telephone_number": "773-586-3456",
            "fax_number": "773-586-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 S NARRAGANSETT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384233",
            "telephone_number": "773-586-3456",
            "fax_number": "773-586-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRIK DENTAL LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDRIK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-586-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Aug 22, 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.