Active NPI
Samantha Marie McDermott, DMD
- Pediatric Dentistry
- Clifton Park, NY
National Provider Identifier
1750084794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 64196
- Practice address
- 713 Pierce Rd
Clifton Park, NY 12065 - Phone
- (518) 373-1181
- NPI assigned
- Mar 27, 2023
- Last updated
- Dec 8, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 064196 | NY | |
| Pediatric Dentistry | 1223P0221X | 64196 | NY | Primary |
Addresses
Primary practice location
713 Pierce Rd
Clifton Park, NY 12065
Mailing address
713 Pierce Rd
Clifton Park, NY 12065
Phone (518) 373-1181
Other practice location 1
713 Pierce Rd
Clifton Park, NY 12065-1302
Phone (518) 373-1181
Other practice location 2
1044 State St
Schenectady, NY 12307-1508
Phone (518) 370-1441
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02995513 | Medicaid | NY | |
| 331833 | Other | NY | MEDICARE OSCAR |
| 53099A | Other | NY | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064196 | NY | MD | Clinical Social Worker |
| 64196 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schenectady Family Health Services, Inc. | Current | Accepting new patients | |
| Schenectady Family Health Services, Inc. | Current | Accepting new patients | |
| Schenectady Family Health Services, Inc. | Past | Accepting new patients | |
| Schenectady Family Health Services, Inc. | Past | Accepting new patients | |
| Schenectady Family Health Services, Inc. | Past | Accepting new patients | |
| McDonnell and McMahon Pediatric Dentistry PLLC | Pediatric Dentistry | Past | Accepting new patients |
Locations
1044 State St
Schenectady, NY 12307
Phone (518) 370-1441
1108 State St
Schenectady, NY 12304
Phone (518) 370-1441
Organizations & group practices 6
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.
-
dba Hometown Health Centers
- Family Medicine Physician
- Schenectady, NY
- NPI 1396711982
-
dba Hometown Health Centers Dental at McClellan Street
- Dental Clinic/Center
- Schenectady, NY
- NPI 1457024218
-
dba The Smile Lodge
- Pediatric Dentistry
- Clifton Park, NY
- NPI 1821486754
-
dba Hometown Health Centers at Amsterdam
- Family Medicine Physician
- Amsterdam, NY
- NPI 1174947469
-
dba Hometown Health Centers Dental at State Street
- Dental Clinic/Center
- Schenectady, NY
- NPI 1316624786
-
dba Hometown Health Centers Dental
- Dental Clinic/Center
- Schenectady, NY
- NPI 1538705819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1750084794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 PIERCE RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "12065",
"telephone_number": "518-373-1181",
"fax_number": "518-395-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 PIERCE RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "12065",
"telephone_number": "518-373-1181"
}
],
"practiceLocations": [
{
"address_1": "713 Pierce Rd",
"address_purpose": "LOCATION",
"city": "Clifton Park",
"state": "NY",
"postal_code": "120651302",
"country_code": "US",
"telephone_number": "518-373-1181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1044 State St",
"address_purpose": "LOCATION",
"city": "Schenectady",
"state": "NY",
"postal_code": "123071508",
"country_code": "US",
"telephone_number": "518-370-1441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "064196",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "64196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02995513",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OSCAR",
"identifier": "331833",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "53099A",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.