Individual provider Active NPI

Samantha Cottingham, DMD

  • General Practice Dentistry
  • Belton, TX
National Provider Identifier
1023530870
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33302 Issued in TX
Practice address
511 Lake Rd Ste 107
Belton, TX 76513-1405
Phone
(254) 933-3993
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33302 TX Primary

Addresses

Primary practice location

511 Lake Rd Ste 107
Belton, TX 76513-1405

Mailing address

421 N 38TH St
Killeen, TX 76543-4153
Phone (254) 634-0234

Other names 1

  • Samantha Casey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33302TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carus Dental PC General Practice CurrentSince Sep 17, 2023 Accepting new patients
Carus Dental PastSince Sep 17, 2023 Accepting new patients

Locations

511 Lake Rd
Ste 107
Belton, TX 76513
Phone (254) 933-3993

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1023530870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N 38TH ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765434153",
            "telephone_number": "254-634-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 LAKE RD STE 107",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131405",
            "telephone_number": "254-933-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTINGHAM",
        "first_name": "SAMANTHA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CASEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.