Evelyn Teague Samuel, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

0401413391 Issued in VA

Practice address

5659 Columbia Pike
# 100
Falls Church, VA 22041-2878

Phone

(314) 669-5958

NPI assigned

Jan 22, 2007

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1558415331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 COLUMBIA PIKE",
            "address_2": "#100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412878",
            "telephone_number": "314-669-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 COLUMBIA PIKE",
            "address_2": "# 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412878",
            "telephone_number": "314-669-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "EVELYN",
        "middle_name": "TEAGUE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5038",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritu Saluja-Sharma, MD
• Swathi Deo Vishnu Sambatha
• Albert Samost, MD
• Edrian Gabriel Molinyawe Samoy
• Palak Turakhia Sampat, MD
• Sanae Bouallali Berrada
• Danielle N Sanders, PA-C
• Julia Elise Sanders, LCSW, LICSW, LCSW-C
• Thomas Howard Sanders, MD
• Harleen Kaur Sandhu, NP

• Dentist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.