Individual provider Active NPI

Samantha Paulette Reed, DMD

  • General Practice Dentistry
  • Palm Harbor, FL
National Provider Identifier
1104042456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15142 Issued in FL
Practice address
2707 Tampa Rd
Palm Harbor, FL 34684-3312
Phone
(727) 785-6521
Fax
(727) 785-6237
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DN15142 FL Primary

Addresses

Primary practice location

2707 Tampa Rd
Palm Harbor, FL 34684-3312

Mailing address

2707 Tampa Rd
Palm Harbor, FL 34684-3312
Phone (727) 785-6521

Other names 1

  • Samantha Paulette Evans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170215003149 FL Order and Referring Only - DentistPractitioner - Dentist 6901189091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN15142FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104042456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843312",
            "telephone_number": "727-785-6521",
            "fax_number": "727-785-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843312",
            "telephone_number": "727-785-6521",
            "fax_number": "727-785-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "SAMANTHA",
        "middle_name": "PAULETTE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "EVANS",
            "middle_name": "PAULETTE",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.