Active NPI
Samantha Casey, CFNC, AOMT-C, RDH
- Specialist
- Phoenix, AZ
National Provider Identifier
1528633971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1116 W Le Marche Ave
Phoenix, AZ 85023-4428 - Phone
- (602) 696-7527
- NPI assigned
- May 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H007412 | AZ | |
| Specialist | 174400000X | AZ | Primary |
Addresses
Primary practice location
1116 W Le Marche Ave
Phoenix, AZ 85023-4428
Mailing address
1116 W Le Marche Ave
Phoenix, AZ 85023-4428
Phone (602) 696-7527
Other names 1
- Miss Samantha Eberhardt
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H007412 | AZ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768608000000",
"number": "1528633971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 W LE MARCHE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850234428",
"telephone_number": "602-696-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 W LE MARCHE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850234428",
"telephone_number": "602-696-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "SAMANTHA",
"name_prefix": "Mrs.",
"credential": "CFNC, AOMT-C, RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2026-01-17",
"certification_date": "2026-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H007412",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "EBERHARDT",
"prefix": "MISS",
"credential": "CFNC, AOMT-C, RDH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.