Samuel V Mesaros PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401008440 Issued in VA

Legal business name

SAMUEL V MESAROS PC

Practice address

115 Cottonwood Lane
Danville, VA 24540

Phone

(434) 791-4700

Fax

(434) 791-3740

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samuel V Mesaros, DDS MSNPI 1023204526

Title

President

Phone

(434) 791-4700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Samuel V Mesaros, DDS

  • Endodontics
  • Danville, VA
  • NPI 1023204526
  NPD (past) Authorized official
• Patricia Sarcos Alvarez, DMD, MD

  • General Practice Dentistry
  • Danville, VA
  • NPI 1275164956
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1003091752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COTTONWOOD LANE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24540",
            "telephone_number": "434-791-4700",
            "fax_number": "434-791-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COTTONWOOD LANE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24540",
            "telephone_number": "434-791-4700",
            "fax_number": "434-791-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL V MESAROS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MESAROS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-791-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401008440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "115194",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "8440",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akua Sampong, MD
• Sampson Transportation and Distribution
• Sams East Inc
• Sams East Inc
• Samuel R Lasris DDS
• Maung Cho San
• Sandy Chang, DMD, P.C.
• Taylor Sanom
• Patricia Sarcos Alvarez, DMD, MD
• Ashli G Saunders-Lea, OT

• Endodontics in Danville, VA
• Providers in Danville, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.