Samantha Nembhard, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34875 Issued in TX

Practice address

2811 Business Center Dr Ste 105
Pearland, TX 77584-4161

Phone

(713) 340-1418

NPI assigned

Apr 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Pearland Modern Dentistry, PC

  • General Practice Dentistry
  • Pearland, TX
  • NPI 1265798367
  NPD (past)

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1679950414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 BUSINESS CENTER DR STE 105",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844161",
            "telephone_number": "713-340-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 BUSINESS CENTER DR STE 105",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844161",
            "telephone_number": "713-340-1418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Belle Terre Rd",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117771928",
            "country_code": "US",
            "telephone_number": "631-474-6553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEMBHARD",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058567",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058567",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Nelson
• Clarice Adell Nelson, MS, CCC-SLP
• Georgia Nelson, PT
• Hubert William Nelson Jr., RN
• Rodric Nelson, M.PSYCH- ABA
• Neomedica Group LLC
• Crystal Nequent
• Brianna Nesvadba
• Cedric Nettey
• Network Provider Associates, P.C.

• General Practice Dentistry in Pearland, TX
• Providers in Pearland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.