Active NPI
Samarkos, D.M.D., P.a.
- Dental Clinic/Center
- Dunnellon, FL
National Provider Identifier
1013299338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DN12788
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669682266 | Other | FL | NPI 1 |
| 1467781112 | Other | FL | NPI 1 |
| 187170330 | Other | FL | NPI 1 |
| 1154630341 | Other | FL | NPI 1 |
| 2802037313 | Other | FL | NPI 1 |
Other names 1
- Dunnellon Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Dunnellon Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Gainesville, FL
- NPI 1871874313
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.