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
- 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 and National Provider Directory roles.
-
- Dentist
- Los Angeles, CA
- NPI 1376674432
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.