Samantha Anne Philip

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858528 Issued in MA

Practice address

12 Post Office SQ
Boston, MA 02109-3900

Phone

(617) 542-8808

NPI assigned

Jun 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hirshberg Dental Assoc of Boston PC

  • Prosthodontics
  • Boston, MA
  • NPI 1104999028
  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1023501970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 COMMONWEALTH AVE APT 42",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152837",
            "telephone_number": "347-257-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 POST OFFICE SQ",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021093900",
            "telephone_number": "617-542-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17411 Horace Harding Expy",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113651527",
            "country_code": "US",
            "telephone_number": "718-670-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5645 Main St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555045",
            "country_code": "US",
            "telephone_number": "718-670-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 William St Ste 340",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024813818",
            "country_code": "US",
            "telephone_number": "781-235-9018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Philbrook, PNP-C
• Jessica Philemond
• Beverly K Philip, MD
• James H Philip, MD
• Raichel Philip, MD
• Barbara L Philipp, MD
• Medjie Philippe
• Olivia Philippi
• George J. Philippides, M.D.
• Alexander P Philips, MD

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.