Organization Active NPI

Samarkos, D.M.D., P.a.

  • Dental Clinic/Center
  • Dunnellon, FL
National Provider Identifier
1013299338
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN12788 Issued in FL
Legal business name
SAMARKOS, D.M.D., P.A.
Practice address
11223 N Williams St
Dunnellon, FL 34432-8350
Phone
(352) 489-3922
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
John A Samarkos
Title
Owner
Phone
(352) 489-3922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN12788 FL Primary

Addresses

Primary practice location

11223 N Williams St
Dunnellon, FL 34432-8350

Mailing address

11223 N Williams St
Dunnellon, FL 34432-8350
Phone (352) 489-3922

Other identifiers 5

IdentifierTypeStateIssuer
1669682266OtherFLNPI 1
1467781112OtherFLNPI 1
187170330OtherFLNPI 1
1154630341OtherFLNPI 1
2802037313OtherFLNPI 1

Other names 1

  • Dunnellon Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dunnellon Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11223 N Williams St
Dunnellon, FL 34432
Phone (352) 489-3922

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1013299338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 N WILLIAMS ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344328350",
            "telephone_number": "352-489-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11223 N WILLIAMS ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344328350",
            "telephone_number": "352-489-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARKOS, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "SAMARKOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-489-3922"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN12788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1669682266",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1467781112",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "187170330",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1154630341",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "2802037313",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunnellon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.