Organization Active NPI

Samarkos and Rodriguez DMD PA

  • Dental Clinic/Center
  • Gainesville, FL
National Provider Identifier
1871874313
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN12788 Issued in FL
Legal business name
SAMARKOS AND RODRIGUEZ DMD PA
Practice address
105 NW 75TH St
Ste 1
Gainesville, FL 32607-6666
Phone
(352) 331-4558
NPI assigned
Aug 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Dr. John A SamarkosNPI 1669682266
Title
Owner
Phone
(352) 331-4558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN12788 FL Primary

Addresses

Primary practice location

105 NW 75TH St
Ste 1
Gainesville, FL 32607-6666

Mailing address

105 NW 75TH St
Ste 1
Gainesville, FL 32607-6666
Phone (352) 331-4558

Other identifiers 1

IdentifierTypeStateIssuer
1871703330OtherFLNATIONAL PROVIDER NUMBER

Other names 1

  • Tower Dental Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dunnellon Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 NW 75th St
Ste 1
Gainesville, FL 32607
Phone (352) 331-4558

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1871874313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NW 75TH ST",
            "address_2": "STE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076666",
            "telephone_number": "352-331-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NW 75TH ST",
            "address_2": "STE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076666",
            "telephone_number": "352-331-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARKOS AND RODRIGUEZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "SAMARKOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-331-4558",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN12788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1871703330",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tower Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.