Billy D Sams II, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN20124 Issued in FL

Practice address

9411 Cypress Lake Dr
Fort Myers, FL 33919-4911

Phone

(239) 248-0252

Fax

(239) 248-3170

NPI assigned

Jul 9, 2013

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1255772075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 CYPRESS LAKE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194911",
            "telephone_number": "239-248-0252",
            "fax_number": "239-248-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 CYPRESS LAKE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194911",
            "telephone_number": "239-248-0252",
            "fax_number": "239-248-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "BILLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esmaeel Samaliazad, DC
• Jacob Arthur Sambursky, MD
• Crystal Marie Sammarco
• Cristin Sampson, MD
• Sams East Inc (Sams Pharmacy 10-8130)
• Gregory Samson, M.D.
• Karen Samuda, LCSW
• Aneeta P Samuel, M. D.
• Joe Samuel
• San Carlos Chiropractic Inc

• Dentist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.