Samuel Driggers, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012952A Issued in IN

Practice address

10100 E US Highway 36 Ste a
Avon, IN 46123-7567

Phone

(317) 271-1300

NPI assigned

Jun 15, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1992299812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 E US HHIGHWAY 36",
            "address_2": "STE. A",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-271-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E US HIGHWAY 36 STE A",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237567",
            "telephone_number": "317-271-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIGGERS",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012952A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M Doran, MD
• Sonia Douglas
• Nicholas A Doyle, M.D.
• Dr Mark Lynn & Associates PLLC
• Dr. Duck & Associates
• Steven F. Driggers, D.D.S.
• DS Penrod & Assoc
• Christine Janelle Dubeau, CCC-SLP/L
• Miranda Dunkelbarger
• Chelsea Durnil

• General Practice Dentistry in Avon, IN
• Providers in Avon, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.

Verify at the official NPI Registry.