Active NPI
Shmuel Samoha, D.D.S
- Dentist
- Encino, CA
National Provider Identifier
1164729885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60167
- Practice address
- 5805 White Oak Ave
16714
Encino, CA 91316-3080 - Phone
- (818) 430-9207
- NPI assigned
- Feb 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60167 | CA | Primary |
Addresses
Primary practice location
5805 White Oak Ave
16714
Encino, CA 91316-3080
Mailing address
5805 White Oak Ave #16714
Encino, CA 91316-3080
Phone (818) 430-9207
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samoha Dental Corp | Dentist | Current | Accepting new patients |
| Smilegivers | Current | Accepting new patients |
Locations
5805 White Oak Ave
#16714
Encino, CA 91316
Phone (818) 430-9207
Organizations & group practices 2
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.
-
- Dentist
- Encino, CA
- NPI 1275895351
-
- Public Health Dentistry
- Los Angeles, CA
- NPI 1740909506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1164729885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 WHITE OAK AVE #16714",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163080",
"telephone_number": "818-430-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 WHITE OAK AVE",
"address_2": "16714",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163080",
"telephone_number": "818-430-9207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMOHA",
"first_name": "SHMUEL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-15",
"last_updated": "2022-10-28",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.