Organization Active NPI

Sandell Dental Care, LTD.

  • Dentist
  • Elmhurst, IL
National Provider Identifier
1871929935
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019017423 Issued in IL
Legal business name
SANDELL DENTAL CARE, LTD.
Practice address
360 N York St
Elmhurst, IL 60126-2376
Phone
(630) 941-9299
Fax
(630) 941-9270
NPI assigned
Sep 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Dr. Donald Wayne Sandell, D.D.S.NPI 1366551095
Title
President
Phone
(630) 941-9299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019017423 IL Primary

Addresses

Primary practice location

360 N York St
Elmhurst, IL 60126-2376

Mailing address

360 N York St
Elmhurst, IL 60126-2376
Phone (630) 941-9299

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1871929935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262376",
            "telephone_number": "630-941-9299",
            "fax_number": "630-941-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262376",
            "telephone_number": "630-941-9299",
            "fax_number": "630-941-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDELL DENTAL CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "SANDELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-941-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.