Active NPI
Samantha Robyn Haas Besser, DMD
- Endodontics
- Santa Monica, CA
National Provider Identifier
1326202029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 53521
- Practice address
- 1102 12TH St Apt 2
Santa Monica, CA 90403-5446 - Phone
- (310) 780-4825
- NPI assigned
- Jul 11, 2008
- Last updated
- Oct 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 53521 | CA | Primary |
Addresses
Primary practice location
1102 12TH St Apt 2
Santa Monica, CA 90403-5446
Mailing address
6222 Wilshire Blvd Ste 103
Los Angeles, CA 90048-5100
Phone (323) 933-4444
Other names 1
- Samantha Robyn Haas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170302001198 | CA | Order and Referring Only - Other (Non-Physician) | 2062796436 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53521 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Salo DDS, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1326202029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6222 WILSHIRE BLVD STE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485100",
"telephone_number": "323-933-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 12TH ST APT 2",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035446",
"telephone_number": "310-780-4825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSER",
"first_name": "SAMANTHA",
"middle_name": "ROBYN HAAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "53521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "HAAS",
"middle_name": "ROBYN",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Monica, CA
- Caitlin E Berry, D.P.T.
- Ronald James Berry, P.T.
- Teresa Ann Bertoncin, LMFT, LPCC
- Jacob Berumen, NP
- Jackelyn Tanios Beshir, M.D.
- Best Natural Smile
- Best Physical Therapy & Sports Medicine, Inc
- Beth Siegler, a Medical Corporation
- John S Bettinger, DDS
- Beverlymedical Sleep Center & Neurodiagnostic, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.