Samantha Kerper Smalley, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN-DEN-LIC-26044 Issued in MT

Practice address

320 E 2ND St
Libby, MT 59923-2010

Phone

(406) 283-6900

NPI assigned

May 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Samantha Anne Kerper Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1134818453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WISCONSIN AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232335",
            "telephone_number": "256-343-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-283-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Sandalwood Ct",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MT",
            "postal_code": "59935",
            "country_code": "US",
            "telephone_number": "406-295-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "SAMANTHA",
        "middle_name": "KERPER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-26044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KERPER",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Serra, DO
• Stephanie Lynn Shaw, SWLC
• Lorna M Shea, FNPC
• Mindy Sigea, SWLC
• Eric Charles Simpson, D.D.S.
• Steven L Sorensen, OD
• Spokane Vamc
• St John'S Lutheran Hospital Physician'S Services
• St. John'S Lutheran Hospital
• St. John'S Lutheran Hospital, Inc

• Dentist in Libby, MT
• Providers in Libby, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.