Individual provider Active NPI

Jeanine Marie Samperi, D.M.D.

  • General Practice Dentistry
  • Anthony, NM
National Provider Identifier
1538472709
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0025573 Issued in TX
Practice address
855 Anthony Dr
Anthony, NM 88021-9325
Phone
(575) 882-3607
Fax
(575) 882-2909
NPI assigned
Jul 16, 2010
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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 0025573 TX Primary

Addresses

Primary practice location

855 Anthony Dr
Anthony, NM 88021-9325

Mailing address

385 Calle de Alegra, BLDG. a
Las Cruces, NM 88005-3417
Phone (575) 526-1105

Other identifiers 1

IdentifierTypeStateIssuer
31477071MedicaidNM

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

LicenseStateTypeSpecialty
0025573TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1538472709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA, BLDG. A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053417",
            "telephone_number": "575-526-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ANTHONY DR",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880219325",
            "telephone_number": "575-882-3607",
            "fax_number": "575-882-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPERI",
        "first_name": "JEANINE",
        "middle_name": "MARIE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0025573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31477071",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthony, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.