NPIMap

Organization Active NPI

Samuel R. Emrich, DDS, PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1225249717
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4511 Issued in NC
Legal business name
SAMUEL R. EMRICH, DDS, PA
Practice address
2717 Glenwood Ave Ste 100
Raleigh, NC 27608-1035
Phone
(919) 821-0008
Fax
(919) 821-0008
NPI assigned
May 25, 2007
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. Samuel R Emrich, DDSNPI 1407932064
Title
President
Phone
(919) 821-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4511 NC Primary

Addresses

Primary practice location

2717 Glenwood Ave Ste 100
Raleigh, NC 27608-1035

Mailing address

2717 Glenwood Ave
Raleigh, NC 27608-1033
Phone (919) 821-0008

Other identifiers 1

IdentifierTypeStateIssuer
8902882MedicaidNC

Other names 1

  • Calamos and Marsh DDS, PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Calamos and Marsh DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2717 Glenwood Ave
Raleigh, NC 27608

2717 Glenwood Ave
Ste 100
Raleigh, NC 27608
Phone (919) 821-0008

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1225249717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081033",
            "telephone_number": "919-821-0008",
            "fax_number": "919-821-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 GLENWOOD AVE STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081035",
            "telephone_number": "919-821-0008",
            "fax_number": "919-821-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL R. EMRICH, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "EMRICH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-821-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902882",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calamos and Marsh DDS, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.