Individual provider Active NPI

Samantha Carino, D.M.D.

  • General Practice Dentistry
  • Ann Arbor, MI
National Provider Identifier
1699189647
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30768 Issued in TX
Practice address
1515 E. Hospital Drive
G1218 Towsley Center, SPC 5222
Ann Arbor, MI 48109-5222
Phone
(734) 232-6048
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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 30768 TX Primary

Addresses

Primary practice location

1515 E. Hospital Drive
G1218 Towsley Center, SPC 5222
Ann Arbor, MI 48109-5222

Mailing address

2323 Clear Lake City Blvd
Ste 140
Houston, TX 77062-8039
Phone (281) 488-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160601000973 TX Order and Referring Only - DentistPractitioner - Dentist 2860782026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riel Just Smile Inc Current Accepting new patients
University of Michigan Past Accepting new patients

Locations

2323 Clear Lake City Blvd
Ste 140
Houston, TX 77062
Phone (281) 488-3626

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1699189647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 CLEAR LAKE CITY BLVD",
            "address_2": "STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770628039",
            "telephone_number": "281-488-3626",
            "fax_number": "281-486-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E. HOSPITAL DRIVE",
            "address_2": "G1218 TOWSLEY CENTER, SPC 5222",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095222",
            "telephone_number": "734-232-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARINO",
        "first_name": "SAMANTHA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.