William Robert Samson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2349 Issued in MT

Practice address

3997 Valley Commons Drive Suite a
Bozeman, MT 59718-4108

Phone

(406) 404-1186

Fax

(406) 404-1187

NPI assigned

Jun 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 3, 2016 through Feb 3, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Madison Dental PC

  • General Practice Dentistry
  • Ennis, MT
  • NPI 1780383265
  NPD Authorized official
• WS Dental PC

  • General Practice Dentistry
  • Bozeman, MT
  • NPI 1295126993
  NPD (past) Authorized official

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1093976383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 VALLEY COMMONS DRIVE SUITE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59718",
            "telephone_number": "406-404-1186",
            "fax_number": "406-404-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3997 VALLEY COMMONS DRIVE SUITE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184108",
            "telephone_number": "406-404-1186",
            "fax_number": "406-404-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "R418",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7133568",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Saltiel, LCSW
• Scott Salzer, MS
• Lisa Cathryn Samardich, MA CCC-SLP
• Same Day Surgery Center
• Fiona Caroline Sampey, PA-C, MMSC
• Elaine Susan Samuel, MD
• Devon Sanders, ACLC
• Donna Sanders
• Rebecca Anne Sanders, APRN
• Sandra Newton PHD Licensed Psychologist PLLC

• General Practice Dentistry in Bozeman, MT
• Providers in Bozeman, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.