Organization Active NPI

Andrew J. Sampalis DDS and Associates.,LTD.

  • Dentist
  • Oak Lawn, IL
National Provider Identifier
1861847063
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019014671 Issued in IL
Legal business name
ANDREW J. SAMPALIS DDS AND ASSOCIATES.,LTD.
Practice address
4560 W 103Rd St
Oak Lawn, IL 60453-4869
Phone
(240) 669-2313
Fax
(855) 630-3888
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Jules Davies
Title
Manager
Phone
(240) 669-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019014671 IL Primary

Addresses

Primary practice location

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

Mailing address

4560 W 103Rd St
Oak Lawn, IL 60453-4869
Phone (240) 669-2313

National Provider Directory

National Provider Directory

Locations

4560 W 103rd St
Oak Lawn, IL 60453
Phone (240) 669-2313

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1861847063",
    "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": "240-669-2313",
            "fax_number": "855-630-3888"
        },
        {
            "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": "240-669-2313",
            "fax_number": "855-630-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J. SAMPALIS DDS AND ASSOCIATES.,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "JULES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-669-2313"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019014671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.