SAMANTHA SCHALLER DMD - NPI 1366215923 - Dentist in San Diego, CA

Q: What is Samantha Schaller's NPI number?

The NPI number for Samantha Schaller is 1366215923. It was assigned to this individual provider in the NPPES registry on November 3, 2023.

Q: What is Samantha Schaller'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 Samantha Schaller was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Samantha Schaller Dmd NPPES

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

SAMANTHA SCHALLER DMD (NPI 1366215923) is an individual general practice provider in San Diego, California, licensed in California (109632) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366215923

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSAMANTHA SCHALLERCredential: DMD

Location Address15717 BERNARDO HEIGHTS PKWYSan Diego, CA 92128-3155

Mailing Address4228 Fanuel St Apt BSan Diego, CA 92109-8705

Phone(858) 451-4413

Sole ProprietorYes

Enumeration DateNovember 3, 2023

Last NPPES UpdateMay 13, 20265 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1366215923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 109632

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.

15717 BERNARDO HEIGHTS PKWY, San Diego, CA 92128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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)

Samantha Schaller Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92128 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

Other Providers at the Same Location NPPES 6

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

C. ASHMORE DENTAL CORP.

Dentist