Samuel Riddick Emrich, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7765 Issued in NC

Practice address

2717 Glenwood Ave, Ste 100
Raleigh, NC 27608

Phone

(919) 821-0008

Fax

(919) 821-0010

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Emrich & Wood, DDS, PLLC

  dba The Clayton Dental Center

  • General Practice Dentistry
  • Clayton, NC
  • NPI 1548801681
  NPD Authorized official
• Samuel R. Emrich, DDS, PA

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1225249717
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1407932064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 GLENWOOD AVE, STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27608",
            "telephone_number": "919-821-0008",
            "fax_number": "919-821-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 GLENWOOD AVE, STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27608",
            "telephone_number": "919-821-0008",
            "fax_number": "919-821-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMRICH",
        "first_name": "SAMUEL",
        "middle_name": "RIDDICK",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empower Improve Counseling PLLC
• Empowered Counseling Services, LLC (Empowered Counseling Services)
• Empowering Minds Community Support Services , LLC
• Empowerme Medical Group, PC
• Empowher Residential Services
• Christopher J Emrick, ATC
• Bulent Ender, M.D.
• Linda Endicott, ANP-C
• Endolastic Inc.
• Rebekah Endrikat, CO

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.

Verify at the official NPI Registry.