Active NPI
Samuel Jampolis, M.D.
- Radiation Oncology Physician
- Benbrook, TX
National Provider Identifier
1891948386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G4608
- Practice address
- 6310 Southwest Blvd
Ste 204
Benbrook, TX 76109-3998 - Phone
- (817) 263-4700
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G4608 | TX | Primary |
Addresses
Primary practice location
6310 Southwest Blvd
Ste 204
Benbrook, TX 76109-3998
Mailing address
6318 Richmond Ave
#1302
Dallas, TX 75214-3681
Phone (855) 266-0303
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4608 | TX | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1891948386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6318 RICHMOND AVE",
"address_2": "#1302",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143681",
"telephone_number": "855-266-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 SOUTHWEST BLVD",
"address_2": "STE 204",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761093998",
"telephone_number": "817-263-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMPOLIS",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "G4608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benbrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.