Sam-Car LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

008671 Issued in CT

Legal business name

SAM-CAR LLC

Doing business as

East Lyme Family & Cosmetic Dentistry

Practice address

15 Church LN
East Lyme, CT 06333-1621

Phone

(860) 739-3447

Fax

(860) 739-4679

NPI assigned

Nov 13, 2014

Last updated

Nov 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Trasielyn Ademi

Title

Office Manager

Phone

(860) 739-3447

Specialties & licenses 2

Addresses

Other names 1

• East Lyme Family & Cosmetic Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Anthony Palumbo, D.D.S

  • General Practice Dentistry
  • East Lyme, CT
  • NPI 1265599278
  NPD (past)

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1689070989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHURCH LN",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331621",
            "telephone_number": "860-739-3447",
            "fax_number": "860-739-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHURCH LN",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331621",
            "telephone_number": "860-739-3447",
            "fax_number": "860-739-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM-CAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "ADEMI",
        "authorized_official_first_name": "TRASIELYN",
        "authorized_official_title_or_position": "OFFICE  MANAGER",
        "authorized_official_telephone_number": "860-739-3447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CT",
            "license": "008452",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CT",
            "license": "008671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Lyme Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Root Canal Specialists, P.C.
• James M Rusnak, MD, PHD
• Patricia Ryone
• Kara Elizabeth Salazar, PHARMD
• Hailie Haewon Saldivar
• Jill C Sandora
• Fred E Santoro, M.D.
• Jessica Sedita-Gatto, N.D.
• Gerald L. Shaw, M.D.
• Kim Shepardson Watson, LCSW

• Preferred Provider Organization in East Lyme, CT
• Providers in East Lyme, CT by specialty
• Preferred Provider Organization in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.