Individual provider Active NPI

Sabiha Samad, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1528314077
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056221 Issued in NY
Practice address
245 E 54TH St
Apt. 14D
New York, NY 10022-4707
Phone
(716) 863-3403
NPI assigned
Aug 1, 2012
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 056221 NY Primary

Addresses

Primary practice location

245 E 54TH St
Apt. 14D
New York, NY 10022-4707

Mailing address

245 E 54TH St
Apt. 14D
New York, NY 10022-4707
Phone (716) 863-3403

Other identifiers 1

IdentifierTypeStateIssuer
056221OtherLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170327001353 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2163707522

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1528314077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E 54TH ST",
            "address_2": "APT. 14D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224707",
            "telephone_number": "716-863-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E 54TH ST",
            "address_2": "APT. 14D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224707",
            "telephone_number": "716-863-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAD",
        "first_name": "SABIHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "056221",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.