Samantha Lynn Holder, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D009694 Issued in AZ

Practice address

7595 E McDonald Dr Ste 110
Scottsdale, AZ 85250-6080

Phone

(480) 757-0007

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

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

Practice roles

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

• Las Tiendas Dental Group, LLP

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1609962760
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1629194535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 E SIPAPU DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971393",
            "telephone_number": "708-334-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 E MCDONALD DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506080",
            "telephone_number": "480-757-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4365 E Pecos Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852957875",
            "country_code": "US",
            "telephone_number": "480-331-4955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19027057",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Grace Holbrook-Rasmussen, PA-C
• Christopher Michael Holcomb, LPC
• Holden Facial Plastic Surgery a Professional Corporation
• Chad Holden, PHARM.D.
• Paul Kenneth Holden, M.D.
• Holding Hands LLC Dba Home Helpers
• Melissa Ann Holeczy, NP-C
• M Lance Holemon, M.D.
• Scott Kistler Holemon, M.D.
• Laura Strauch Holgate, RN, BSN, MSN

• Dentist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.