Samuel C Page, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4175 Issued in ID

Practice address

143 E Main St
Jerome, ID 83338-2332

Phone

(208) 324-7007

Fax

(208) 324-7540

NPI assigned

Jul 31, 2008

Last updated

Jul 31, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Benevis Inc.

  • General Practice Dentistry
  • Savannah, GA
  • NPI 1760494249
  NPD (past)

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1265698039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E MAIN ST",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833382332",
            "telephone_number": "208-324-7007",
            "fax_number": "208-324-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E MAIN ST",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833382332",
            "telephone_number": "208-324-7007",
            "fax_number": "208-324-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "SAMUEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Canyon Medical Center, Inc (North Canyon Jerome Clinic)
• Northside Counseling and Rehab
• Ashlynn RS Norton
• Margaret M Oveson, SLP CF
• Darlena Owens
• Jeffrey Ryan Palmer, DDS
• Morgan B Parker, PHARM.D.
• Jennifer Parsons, NP-C
• Pathways Neurofeedback Institute, PLLC (Pathways Functional Medicine)
• Lizeth Moreno Peoble

• General Practice Dentistry in Jerome, ID
• Providers in Jerome, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.