Samantha Geluda-Lewin, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN 17805 Issued in FL

Practice address

900 N Miami Beach Blvd
K-Mart Dental Office
North Miami Beach, FL 33162-3716

Phone

(305) 947-9001

NPI assigned

Nov 18, 2007

Last updated

Nov 18, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195344000000",
    "number": "1669653754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N MIAMI BEACH BLVD",
            "address_2": "K-MART DENTAL OFFICE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623716",
            "telephone_number": "305-947-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N MIAMI BEACH BLVD",
            "address_2": "K-MART DENTAL OFFICE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623716",
            "telephone_number": "305-947-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELUDA-LEWIN",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2007-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02703226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Gatto, MD
• Martha Gaviria
• Jany Ge Barrera, APRN, FNP-C
• Alexis Victoria Gedallovich
• Adel Gelley
• General Health Empire Corp
• Genesis Womens Health Inc
• Dionne Vennesa Gentles
• George Rovito MD PA
• Larissa Georgeon, MD, MPH

• Dentist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; 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.