NPIMap

Individual provider Active NPI

Samantha Rosemary Abod, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kingston, PA
National Provider Identifier
1619134129
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DSO36471 Issued in PA
Practice address
525 Wyoming Ave
Kingston, PA 18704-3602
Phone
(570) 287-2007
Fax
(570) 287-2212
NPI assigned
May 21, 2008
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DSO36471 PA Primary

Addresses

Primary practice location

525 Wyoming Ave
Kingston, PA 18704-3602

Mailing address

525 Wyoming Ave
Kingston, PA 18704-3602
Phone (570) 287-2007

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
DSO36471PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthodontics Unlimited Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Orthodontics Unlimited Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Orthodontics Unlimited Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Orthodontics Unlimited Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1619134129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043602",
            "telephone_number": "570-287-2007",
            "fax_number": "570-287-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043602",
            "telephone_number": "570-287-2007",
            "fax_number": "570-287-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOD",
        "first_name": "SAMANTHA",
        "middle_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DSO36471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.