Individual provider Active NPI

Samantha Robyn Haas Besser, DMD

  • Endodontics
  • Santa Monica, CA
National Provider Identifier
1326202029
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
53521 Issued in CA
Practice address
1102 12TH St Apt 2
Santa Monica, CA 90403-5446
Phone
(310) 780-4825
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170302001198 CA Order and Referring Only - Other (Non-Physician) 2062796436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53521CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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

Sources for this page

Verify at the official NPI Registry.