Individual provider Active NPI

Sam Almassi, DDS, MSD

  • Endodontics
  • Frisco, TX
National Provider Identifier
1700390499
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
33634 Issued in TX
Practice address
5105 Eldorado Pkwy, Ste 150
Frisco, TX 75034
Phone
(214) 387-0745
NPI assigned
Nov 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 33634 TX Primary

Addresses

Primary practice location

5105 Eldorado Pkwy, Ste 150
Frisco, TX 75034

Mailing address

4925 Rasor Boulevard, Apt. 324
Plano, TX 75024
Phone (313) 434-7444

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
I20180213002163 TX Order and Referring Only - DentistPractitioner - Dentist 1951661966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eldorado Smiles and Orthodontics,PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1700390499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 RASOR BOULEVARD, APT. 324",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "313-434-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 ELDORADO PKWY, STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "214-387-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMASSI",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "33634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.