Samiya Jabir

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN123051 Issued in GA

Practice address

2133 Lavista Exec Park Dr
Tucker, GA 30084-5422

Phone

(770) 939-6760

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1508359803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 SKYLAND DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193646",
            "telephone_number": "724-840-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 LAVISTA EXEC PARK DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845422",
            "telephone_number": "770-939-6760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10493 Frankstown Rd",
            "address_purpose": "LOCATION",
            "city": "Penn Hills",
            "state": "PA",
            "postal_code": "152352917",
            "country_code": "US",
            "telephone_number": "412-371-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Milwaukee Va Medical Center 5000 W National Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532950001",
            "country_code": "US",
            "telephone_number": "414-384-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JABIR",
        "first_name": "SAMIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042046",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "DN123051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iora Senior Health, LLC
• Whitney Chivonne Irie, PHD
• Stephanie Elise Isaacson, DPT
• Itarut Dental LLC
• J G Options, LLC
• Jac Nursing Registry International Inc
• Lamont Joseph Jack, PTA
• Jarrett Roux Jackson, M.ED., CCC-SLP
• Jessica J Jackson, LPC
• Justin M. Jackson, M.D.

• Endodontics in Tucker, GA
• Providers in Tucker, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.