Individual provider Active NPI

Robert Sampier, D.M.D.

  • General Practice Dentistry
  • Succasunna, NJ
National Provider Identifier
1669594875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D18315 Issued in NJ
Practice address
281-101 Route 10 East
Roxbury Mall
Succasunna, NJ 07876
Phone
(973) 584-2600
Fax
(973) 584-5247
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D18315 NJ Primary

Addresses

Primary practice location

281-101 Route 10 East
Roxbury Mall
Succasunna, NJ 07876

Mailing address

281-101 Route 10 East
Roxbury Mall
Succasunna, NJ 07876
Phone (973) 584-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20231220001067 NJ Order and Referring Only - DentistPractitioner - Dentist 7315251568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D18315NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669594875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281-101 ROUTE 10 EAST",
            "address_2": "ROXBURY MALL",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "973-584-2600",
            "fax_number": "973-584-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281-101 ROUTE 10 EAST",
            "address_2": "ROXBURY MALL",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "973-584-2600",
            "fax_number": "973-584-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPIER",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "D18315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

Verify at the official NPI Registry.