Individual provider Active NPI

Samantha Wood, BSDH, OMT

  • Dental Hygienist
  • Fort Worth, TX
National Provider Identifier
1851281471
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
21351 Issued in TX
Practice address
6328 Malvey Ave
Fort Worth, TX 76116-4509
Phone
(817) 781-3350
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 21351 TX Primary
Specialist 174400000X

Addresses

Primary practice location

6328 Malvey Ave
Fort Worth, TX 76116-4509

Mailing address

6328 Malvey Ave
Fort Worth, TX 76116-4509
Phone (817) 781-3350

Other practice location 1

6628 Hawks Creek Ave
Westworth Village, TX 76114-4056
Phone (817) 732-2995

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
21351TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Westworth Village Family Dentistry Past Accepting new patients
Breathe Better, PLLC PastSince Jul 10, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1851281471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 MALVEY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761164509",
            "telephone_number": "817-781-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 MALVEY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761164509",
            "telephone_number": "817-781-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6628 Hawks Creek Ave",
            "address_purpose": "LOCATION",
            "city": "Westworth Village",
            "state": "TX",
            "postal_code": "761144056",
            "country_code": "US",
            "telephone_number": "817-732-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SAMANTHA",
        "credential": "BSDH, OMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "21351",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.