Individual provider Active NPI

Irene Halkias Sakellis, DMD

  • Dentist
  • Salisbury, MD
National Provider Identifier
1922522101
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16706 Issued in MD
Practice address
1310 Belmont Ave Ste 301
Salisbury, MD 21804-4506
Phone
(410) 742-3000
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8999 SC
Dentist 122300000X 16706 MD Primary

Addresses

Primary practice location

1310 Belmont Ave Ste 301
Salisbury, MD 21804-4506

Mailing address

26261 Kensington LN
Salisbury, MD 21801-2338
Phone (864) 561-2728

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

State licenses

LicenseStateTypeSpecialty
16706MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1922522101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26261 KENSINGTON LN",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012338",
            "telephone_number": "864-561-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BELMONT AVE STE 301",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044506",
            "telephone_number": "410-742-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKELLIS",
        "first_name": "IRENE",
        "middle_name": "HALKIAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8999",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.