Samuel J. Deangelo

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7596 Issued in NC

Legal business name

SAMUEL J. DEANGELO

Practice address

1142 Executive Cir
B
Cary, NC 27511-4570

Phone

(919) 467-3213

Fax

(919) 467-3246

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samuel John Deangelo, DDSNPI 1740488501

Title

Periodontist

Phone

(919) 467-3213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel John Deangelo, DDS

  • Periodontics
  • Cary, NC
  • NPI 1740488501
  NPD (past) Authorized official

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1700043148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 EXECUTIVE CIR",
            "address_2": "B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114570",
            "telephone_number": "919-467-3213",
            "fax_number": "919-467-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 EXECUTIVE CIR",
            "address_2": "B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114570",
            "telephone_number": "919-467-3213",
            "fax_number": "919-467-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL J. DEANGELO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "DEANGELO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "919-467-3213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "7596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Leisa Salvo Gac, MS, CCC-SLP
• Sam Safadi DDS Ms PLLC (Triangle Endodontics)
• Sujana Samala, MD
• Priyan Samarakoon, MD
• Samaritan Housing Foundation, Inc (Searstone Retirement Community)
• Shiny Samuel, NP
• Michael Andrew Samuels, OD
• Stuart L. Samuels, OD
• Ramatu Kadie Samura, LCMHCA, NCC
• Radwa Sherif Samy

• Dental Clinic/Center in Cary, NC
• Providers in Cary, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.