Samantha Kendziorski, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901021216 Issued in MI

Practice address

3036 French Rd
Alpena, MI 49707-8141

Phone

(989) 358-3946

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

State licenses

Interoperability endpoints

• Direct secure messaging: samantha.kendziorski.p1@direct.alcona.nextgenshare.com

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1225444946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929",
            "telephone_number": "989-358-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 FRENCH RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497078141",
            "telephone_number": "989-358-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDZIORSKI",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.kendziorski.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3036 French Rd",
            "city": "Alpena",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497078141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renee Karsaba
• Mark Allen Karsten, OD
• Felonie Keller-Somers
• Brent Kendziorski, DDS
• Kelly R Kendziorski, MSW
• Tori Ann Kensa
• Dorothy Kent, LMSW
• William B. Keskimaki, D.D.S.
• Tabetha T Kierzek
• Kirk C McAnsh, DC PC

• Dentist in Alpena, MI
• Providers in Alpena, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.