Active NPI
Samer Safadi, D.D.S.
- Dentist
- Cary, NC
National Provider Identifier
1083737936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11746
- Practice address
- 121 Edinburgh South Dr Ste 101
Cary, NC 27511 - Phone
- (919) 388-3626
- Fax
- (919) 800-3995
- NPI assigned
- Apr 7, 2007
- Last updated
- Jul 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11746 | MN | Primary |
Addresses
Primary practice location
121 Edinburgh South Dr Ste 101
Cary, NC 27511
Mailing address
121 Edinburgh South Dr Ste 101
Cary, NC 27511-6490
Phone (919) 388-3626
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11746 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sam Safadi DDS Ms PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1083737936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 EDINBURGH SOUTH DR STE 101",
"city": "CARY",
"state": "NC",
"postal_code": "275116490",
"telephone_number": "919-388-3626",
"fax_number": "919-800-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 EDINBURGH SOUTH DR STE 101",
"city": "CARY",
"state": "NC",
"postal_code": "27511",
"telephone_number": "919-388-3626",
"fax_number": "919-800-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFADI",
"first_name": "SAMER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-07",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "11746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.