Individual provider Active NPI

Samuel J Nechamkin, D.D.S., M.S.

  • Periodontics
  • Sherman, TX
National Provider Identifier
1427096866
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
17938 Issued in TX
Practice address
1005 Sara Swamy Dr
Sherman, TX 75090-3119
Phone
(903) 868-9850
Fax
(903) 868-9851
NPI assigned
Jun 4, 2006
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 17938 TX Primary

Addresses

Primary practice location

1005 Sara Swamy Dr
Sherman, TX 75090-3119

Mailing address

PO Box 910848
Sherman, TX 75091-0848
Phone (903) 868-9850

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314001651 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6103091582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
17938TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Periodontics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1427096866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910848",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750910848",
            "telephone_number": "903-868-9850",
            "fax_number": "903-868-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SARA SWAMY DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750903119",
            "telephone_number": "903-868-9850",
            "fax_number": "903-868-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECHAMKIN",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "17938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.