SAMUEL TEAGUE
NPI 1215429642
Dentist - General Practice in Cortez, CO

Q: What is Samuel Teague's NPI number?

The NPI number for Samuel Teague is 1215429642. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Q: What is Samuel Teague's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Teague was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2018PECOS Enrolled

691 E EMPIRE ST, CORTEZ, CO 81321(970) 565-7946(970) 565-9005 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samuel Teague NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL TEAGUE (NPI 1215429642) is an individual general practice provider in Cortez, Colorado, licensed in Colorado (DEN.00203598) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Tennessee Hsc College Of Dentistry (2018).

NPPES Registry Identity

NPI1215429642

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSAMUEL TEAGUE

Location Address691 E EMPIRE STCortez, CO 81321-2802

Mailing AddressPo Box 1328Durango, CO 81302-1328 · (970) 335-2342 · Fax (970) 335-2438

Phone(970) 565-7946

Fax(970) 565-9005

Sole ProprietorYes

Medical School CMSUniversity Of Tennessee Hsc College Of DentistryGraduated 2018

Enumeration DateJune 1, 2018

Last NPPES UpdateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1215429642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · DEN.00203598

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 00203598 (CO)

691 E EMPIRE ST, Cortez, CO 81321

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Secondary Practice Locations 4

Location 1360 Peak One Drive #100Frisco, CO 80443 · Phone (970) 668-4040

Location 2150 Mercury Village DrDurango, CO 81301-8955 · Phone (970) 335-2342

Location 352 Village DrPagosa Springs, CO 81147-8368 · Phone (970) 264-2104 · Fax (970) 335-2438

Location 4495 W 4th StDove Creek, CO 81324-4900 · Phone (970) 677-2291 · Fax (970) 335-2438

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Teague is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214420611

PECOS Enrollment IDI20251203004542

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHWEST COLORADO MENTAL HEALTH CENTER INC DBA AXIS HEALTH SYSTEM

Pharmacy (Community/Retail Pharmacy)