Samantha Mize, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

32158 Issued in TX

Practice address

29 Bee St
Charleston, SC 29425-0001

Phone

(843) 792-3916

NPI assigned

Aug 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bitesize Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Soldotna, AK
  • NPI 1083213128
  NPD Authorized official
• Bitesize Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Anchorage, AK
  • NPI 1124673165
  NPD Authorized official

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1730633363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 CHILHOWEE DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294250001",
            "telephone_number": "843-792-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "SAMANTHA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Mitvalsky, PHARMD
• Ava Kristine Mivelaz
• Hunter E Mixon
• Jennifer Lynn Mixson, RPH.
• Joshua David Mixson, M.D.
• Melissa Mizell, PHARMD
• Andrew Mizerowski, MD
• Freida Eugenia Mizzell, MSW
• Darlene H Moak, M.D.
• Matthew Morgan Moake

• Dentist in Charleston, SC
• Providers in Charleston, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.