Individual provider Active NPI

Paivi Samant, D.D.S.

  • Prosthodontics
  • Gainesville, FL
National Provider Identifier
1760804082
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
D16838 Issued in FL
Practice address
4404 NW 36TH Ave
Gainesville, FL 32606-7210
Phone
(352) 376-5120
Fax
(352) 373-6256
NPI assigned
Jan 7, 2014
Last updated
Jan 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X D16838 FL Primary

Addresses

Primary practice location

4404 NW 36TH Ave
Gainesville, FL 32606-7210

Mailing address

4404 NW 36TH Ave
Gainesville, FL 32606-7210
Phone (352) 376-5120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151005000014 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3375851702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D16838FLMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1760804082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 NW 36TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067210",
            "telephone_number": "352-376-5120",
            "fax_number": "352-373-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 NW 36TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067210",
            "telephone_number": "352-376-5120",
            "fax_number": "352-373-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANT",
        "first_name": "PAIVI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "D16838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.