Samuel Schraber, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14775 Issued in MN

Practice address

1347 Larpenteur Ave W
Falcon Heights, MN 55113-6302

Phone

(651) 699-5600

NPI assigned

Mar 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1609451608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 WESCOTT HILLS DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232240",
            "telephone_number": "651-249-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 LARPENTEUR AVE W",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551136302",
            "telephone_number": "651-699-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRABER",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-11",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@hamlinefamilydental.org",
            "affiliation": "N",
            "address_1": "1347 Larpenteur Ave W",
            "city": "Falcon Heights",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551136302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donald Joseph Peterson, DDS
• Tam B Pham, D.D.S.
• Shamen Radcliffe, EDD, MA, MSW, MA
• Nicholas Mark Saari, DDS
• Saint Jude Hospice - Minnesota, LLC
• Ferencz Mihaly Vincze Turcean

• General Practice Dentistry in Falcon Heights, MN
• Providers in Falcon Heights, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.