Samer a Faraj DDS Ms PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SAMER A FARAJ DDS MS PLLC

Practice address

23762 US 59 Ste a
Porter, TX 77365

Phone

(859) 304-2520

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Samer Adnan Faraj, DDS, MSNPI 1588006902

Title

President / Owner

Phone

(859) 304-2520

Specialties & licenses 2

Addresses

Other names 1

• Dental Specialty of Houston Doing business as

Practitioners 1

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

• Samer Adnan Faraj, BDS

  • Periodontics
  • Boardman, OH
  • NPI 1588006902
  NPD Authorized official

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1003456716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23762 US 59 STE A",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "77365",
            "telephone_number": "859-304-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23762 US 59 STE A",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "77365",
            "telephone_number": "859-304-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMER A FARAJ DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "FARAJ",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "ADNAN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "859-304-2520",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialty of Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Rodriguez Jr., RPH
• Randall Kwarteng Roland, D.O
• Maritza Ruiz, RPH
• Timmie Emil Russell II
• Safe Star Transport
• Jenise Samuel, PHARM D
• Alyssa Marie Scherr, M.S. CCC-SLP
• Vicky Schuetz, SLP-CCC
• Sebastian Ilie Scobercea, MD
• Crystal Scott, OWNER

• Dentist in Porter, TX
• Providers in Porter, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.