Samuel Peppy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045935 Issued in NY

Practice address

1237 N Main St
Jamestown, NY 14701-2158

Phone

(716) 664-2335

Fax

(716) 664-2677

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Anthony J Peppy & Samuel J Peppy DDS PC

  • General Practice Dentistry
  • Jamestown, NY
  • NPI 1679742514
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194716266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 N MAIN ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012158",
            "telephone_number": "716-664-2335",
            "fax_number": "716-664-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 N MAIN ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012158",
            "telephone_number": "716-664-2335",
            "fax_number": "716-664-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPY",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01778963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Lee Pearson, LAT, ATC
• Rachel Peer, RPH
• Mary Elizabeth Pence, RN
• Erin E. Pender, D.D.S.
• Anthony Peppy, DDS
• Samuel Jack Peppy Sr., DDS
• Tisha Renee Percell, LPN
• Julia L Perkins, RDH
• Thomas Perry
• Albert Persia, M.D.

• General Practice Dentistry in Jamestown, NY
• Providers in Jamestown, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.