NPIMap

Organization Active NPI

Bradley a. Samuel DDS., P.a.

  • General Practice Dentistry
  • High Point, NC
National Provider Identifier
1093758476
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0546 Issued in NC
Legal business name
BRADLEY A. SAMUEL DDS., P.A.
Practice address
1001 N. Lindsay Street
High Point, NC 27262-3905
Phone
(336) 883-2316
Fax
(336) 883-7686
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Mr. Bradley Austin Samuel, DDSNPI 1780626366
Title
Owner
Phone
(336) 883-2316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0546 NC Primary

Addresses

Primary practice location

1001 N. Lindsay Street
High Point, NC 27262-3905

Mailing address

1001 N. Lindsay Street
High Point, NC 27262-3905
Phone (336) 883-2316

National Provider Directory

National Provider Directory

Locations

1001 N Lindsay St
High Point, NC 27262
Phone (336) 883-2316

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1093758476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N. LINDSAY STREET",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623905",
            "telephone_number": "336-883-2316",
            "fax_number": "336-883-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N. LINDSAY STREET",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623905",
            "telephone_number": "336-883-2316",
            "fax_number": "336-883-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY A. SAMUEL DDS., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-883-2316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "0546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.