Active NPI
Mouhab Samman, D.D.S
- Oral and Maxillofacial Surgery (Dentist)
- Kansas City, MO
National Provider Identifier
1548338148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2018010412
- Practice address
- 2301 Holmes St
Kansas City, MO 64108 - Phone
- (816) 404-4175
- NPI assigned
- Dec 1, 2006
- Last updated
- Jul 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2018010412 | MO | Primary |
Addresses
Primary practice location
2301 Holmes St
Kansas City, MO 64108
Mailing address
2409 NE 112TH St
Kansas City, MO 64155-4501
Phone (909) 379-3434
Other practice location 1
1124 W Olive Ave Ste 101
Merced, CA 95348-1939
Phone (209) 383-2186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 27, 2026 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018010412 | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
Interoperability endpoints
- msamman@direct.westerndental.com
- msamman406855@direct.saint-lukes.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1548338148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 NE 112TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641554501",
"telephone_number": "909-379-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HOLMES ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64108",
"telephone_number": "816-404-4175"
}
],
"practiceLocations": [
{
"address_1": "1124 W Olive Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953481939",
"country_code": "US",
"telephone_number": "209-383-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMMAN",
"first_name": "MOUHAB",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "2018010412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.