Individual provider Active NPI

Samantha Evans Farr, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Georgetown, TX
National Provider Identifier
1396408670
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
37933 Issued in TX
Practice address
2960 FM 1460 Ste 105
Georgetown, TX 78626-3273
Phone
(512) 316-0777
Fax
(512) 316-0789
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 37933 TX Primary

Addresses

Primary practice location

2960 FM 1460 Ste 105
Georgetown, TX 78626-3273

Mailing address

205 Blue Agave LN
Georgetown, TX 78626-2325
Phone (832) 723-7151

Other names 1

  • Dr. Samantha Kay (Remove) Evans (Remove) Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Farr Orthodontics PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Dec 15, 2024 Accepting new patients

Locations

2960 FM 1460
Ste 105
Georgetown, TX 78626
Phone (512) 316-0777

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1396408670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BLUE AGAVE LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786262325",
            "telephone_number": "832-723-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 FM 1460 STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786263273",
            "telephone_number": "512-316-0777",
            "fax_number": "512-316-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "SAMANTHA",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "37933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "EVANS (REMOVE)",
            "middle_name": "KAY (REMOVE)",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.