Active NPI
Maher Abu Samra, DDS
- Dentist
- Livingston, TX
National Provider Identifier
1366852998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29853
- Practice address
- 117 Southpoint Loop Ste 400
Livingston, TX 77351-8899 - Phone
- (267) 694-3111
- NPI assigned
- May 5, 2014
- Last updated
- Feb 19, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 29853 | TX | Primary |
Addresses
Primary practice location
117 Southpoint Loop Ste 400
Livingston, TX 77351-8899
Mailing address
27986 Clear Pines Dr
Spring, TX 77386-4770
Phone (267) 694-3111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160926001316 | TX | Order and Referring Only - Dentist | 8022321603 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676764800000",
"number": "1366852998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27986 CLEAR PINES DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773864770",
"telephone_number": "267-694-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 SOUTHPOINT LOOP STE 400",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773518899",
"telephone_number": "267-694-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABU SAMRA",
"first_name": "MAHER",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-05",
"last_updated": "2023-02-19",
"certification_date": "2023-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TX
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- A Pineywoods Home Medical Equipment, Inc.
- Melissa D Abbott, NP
- Yasser Abdelhamid
- David Agyekum
- Waleed Khaled Ahmad, DDS
- Abdul Rahman Al Doori, DMD
- Alabama-Coushatta Tribe of Texas (Chief Kina Health Clinic Pharmacy)
- Alabama-Coushatta Tribe of Texas (Chief Kina Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2023; 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.