Individual provider Active NPI

Christopher Safranski, D.M.D.

  • General Practice Dentistry
  • Spring Valley, IL
National Provider Identifier
1982006565
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019029806 Issued in IL
Practice address
229 W Dakota St
Spring Valley, IL 61362-1905
Phone
(815) 663-8131
NPI assigned
Sep 25, 2014
Last updated
Sep 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019029806 IL Primary

Addresses

Primary practice location

229 W Dakota St
Spring Valley, IL 61362-1905

Mailing address

229 W Dakota St
Spring Valley, IL 61362-1905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150114002159 IL Order and Referring Only - DentistPractitioner - Dentist 9436473733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1982006565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W DAKOTA ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W DAKOTA ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621905",
            "telephone_number": "815-663-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRANSKI",
        "first_name": "CHRISTOPHER",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, IL

Sources for this page

Verify at the official NPI Registry.