Individual provider Active NPI

Samantha Nolte, D.M.D

  • Pediatric Dentistry
  • Miami, FL
National Provider Identifier
1114342797
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN23990 Issued in FL
Practice address
13876 SW 88TH St
Miami, FL 33186-1304
Phone
(305) 385-4215
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 057767 NY
Pediatric Dentistry 1223P0221X 057767 NY
Pediatric Dentistry 1223P0221X DN23990 FL Primary

Addresses

Primary practice location

13876 SW 88TH St
Miami, FL 33186-1304

Mailing address

8450 NW 102ND Ave Apt 204
Doral, FL 33178-4756

Other practice location 1

3353 N University Dr
Coral Springs, FL 33065-4162
Phone (954) 416-0727

Other practice location 2

55 Cornelia St
Plattsburgh, NY 12901-1853
Phone (518) 566-0600

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
057767NYMDDentist
DN23990FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Weinberg Ortho Group DDS PLLC Past Accepting new patients
North Country Pediatric Dentistry PLLC Pediatric Dentistry Past Accepting new patients
Specialists in Orthodontics of Florida PLLC PastSince Sep 28, 2021 Accepting new patients

Organizations & group practices 3

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": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1114342797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NW 102ND AVE APT 204",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13876 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861304",
            "telephone_number": "305-385-4215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3353 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654162",
            "country_code": "US",
            "telephone_number": "954-416-0727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Cornelia St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011853",
            "country_code": "US",
            "telephone_number": "518-566-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLTE",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057767",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057767",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN23990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.