Individual provider Active NPI

Briana Rose Sambuchi, DDS

  • Dentist
  • Spruce Pine, NC
National Provider Identifier
1790474310
Registry record updated Jun 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13651 Issued in NC
Practice address
179 Hospital Dr
Spruce Pine, NC 28777-3035
Phone
(828) 765-0110
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 13651 NC Primary

Addresses

Primary practice location

179 Hospital Dr
Spruce Pine, NC 28777-3035

Mailing address

6550 Belle Way
East Amherst, NY 14051-2816
Phone (716) 572-5503

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
13651NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Dentist CurrentSince Jul 28, 2024 Accepting new patients

Locations

179 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-0110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1790474310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 BELLE WAY",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512816",
            "telephone_number": "716-572-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HOSPITAL DR",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287773035",
            "telephone_number": "828-765-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBUCHI",
        "first_name": "BRIANA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spruce Pine, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; 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.