Individual provider Active NPI

Nicholas Sampalis, DMD

  • Dentist
  • Hotchkiss, CO
National Provider Identifier
1932769601
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00204025 Issued in CO
Practice address
158 E Bridge St
Hotchkiss, CO 81419
Phone
(970) 872-2299
NPI assigned
Jun 16, 2019
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00204025 CO Primary

Addresses

Primary practice location

158 E Bridge St
Hotchkiss, CO 81419

Mailing address

PO Box 7
Hotchkiss, CO 81419-0007
Phone (970) 872-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821001717 CO Order and Referring Only - DentistPractitioner - Dentist 2466780010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00204025COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas a Sampalis, DMD, PLLC. CurrentSince Feb 23, 2025 Accepting new patients

Locations

158 E Bridge St
Hotchkiss, CO 81419
Phone (970) 872-2299

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1932769601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "HOTCHKISS",
            "state": "CO",
            "postal_code": "814190007",
            "telephone_number": "970-872-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E BRIDGE ST",
            "city": "HOTCHKISS",
            "state": "CO",
            "postal_code": "81419",
            "telephone_number": "970-872-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPALIS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-16",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hotchkiss, CO

Sources for this page

Verify at the official NPI Registry.