Individual provider Active NPI

Samantha Jean Hinsenkamp, DMD

  • General Practice Dentistry
  • Marine City, MI
National Provider Identifier
1730819467
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901601420 Issued in MI
Practice address
162 S Water St
Marine City, MI 48039-1687
Phone
(810) 765-4055
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 2901601420 MI Primary

Addresses

Primary practice location

162 S Water St
Marine City, MI 48039-1687

Mailing address

38899 Creekridge Cir
Clinton Township, MI 48036-3840
Phone (248) 930-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901601420MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A1 Family Dentistry of Marine City,PLC General Practice PastSince Jun 21, 2022 Accepting new patients
Marine City Dental, P.C. General Practice PastSince Jun 21, 2022 Accepting new patients

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1730819467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38899 CREEKRIDGE CIR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363840",
            "telephone_number": "248-930-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S WATER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391687",
            "telephone_number": "810-765-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSENKAMP",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marine City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.