Sam Dauahera DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027577 Issued in IL

Legal business name

SAM DAUAHERA DDS PC

Practice address

5131 W Devon Ave
Chicago, IL 60646-4217

Phone

(773) 631-8717

Fax

(773) 631-7781

NPI assigned

Mar 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sam Dauahera, DDS

Title

Owner

Phone

(773) 456-5659

Specialties & licenses 1

Addresses

Other names 1

• Edgebrook Dental Associates Doing business as

Locations

Practitioners 2

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

• Reinhold Fischer, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1134273204
  NPD (past)
• Martin Lapidus, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1619973831
  NPD (past)

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1992046205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464217",
            "telephone_number": "773-631-8717",
            "fax_number": "773-631-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464217",
            "telephone_number": "773-631-8717",
            "fax_number": "773-631-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM DAUAHERA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "DAUAHERA",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-456-5659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgebrook Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Grant Salzman, DO
• Steven Salzman, D.D.S.
• Brian Salzverg
• Sam Allen Therapy PLLC
• Sam Boyd Counseling PLLC
• Sam Lipshitz SC
• Sam Macy PSYD PLLC
• Sam R. Hamburg, PH.D., P.C.
• Susan Sam
• Samrin Samad, DO

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

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

Verify at the official NPI Registry.