Active NPI
Paivi Samant, D.D.S.
- Prosthodontics
- Gainesville, FL
National Provider Identifier
1760804082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D16838
- 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, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151005000014 | FL | Order and Referring Only - Other (Physician) | 3375851702 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D16838 | FL | MD | Prosthodontist |
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
- Diana Lynne Salzburg, LM
- Sumita Susan Sam, DDS
- Sam's Club Optical (Sam's Club Optical 30-8155)
- Saralakumari Ramadas Samakur, RD/LDN
- Samant Dental Group
- Samarkos and Rodriguez DMD PA (Tower Dental Associates)
- John Anthony Samarkos, D.M.D.
- Amit Krishna Samba, DO
- Arthur Samia, MD
- Gonzalo Samitier, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.