Active NPI
Samantha Ray Kindsvater, D.O.
- Emergency Medicine Physician
- Charleston, SC
National Provider Identifier
1740100114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- LL97180
- Practice address
- 179 Ashley Ave
Charleston, SC 29425-8908 - Phone
- (843) 792-2300
- NPI assigned
- Jul 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | LL97180 | SC | Primary |
Addresses
Primary practice location
179 Ashley Ave
Charleston, SC 29425-8908
Mailing address
179 Ashley Ave
Charleston, SC 29425-8908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1740100114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258908",
"telephone_number": "843-792-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDSVATER",
"first_name": "SAMANTHA",
"middle_name": "RAY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-16",
"last_updated": "2026-07-16",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "LL97180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.