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DR. SHAHRAM SHANE SAMY DMD
NPI 1437184645
Dentist in Knoxville, TN

Active since July 12, 2006Opted out of Medicare · through Mar 1, 2028
1705 SAINT MARY ST, KNOXVILLE, TN 37917(865) 370-2174 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shahram Shane Samy Dmd NPPES

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

DR. SHAHRAM SHANE SAMY DMD (NPI 1437184645) is an individual dentist in Knoxville, Tennessee, licensed in Tennessee (12903) and active in the NPI registry since July 2006. He has opted out of Medicare through March 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1437184645
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SHAHRAM SHANE SAMYCredential: DMD
Location Address1705 SAINT MARY STKnoxville, TN 37917-4510
Mailing Address1705 Saint Mary StKnoxville, TN 37917-4510 · (865) 370-2174
Phone(865) 370-2174
Sole ProprietorYes
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1437184645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in TN · 12903✔ Licensed in OR · D6972
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1705 SAINT MARY ST, Knoxville, TN 37917
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shahram Shane Samy Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2016 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2016
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37917 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 4

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

PROF. EVA MASTERS RAMSEY RDH BS MED
Dental Hygienist
1705 SAINT MARY ST
KNOXVILLE, TN 37917
Knox County (865) 214-2211
STEVEN QUINTERO DMD
Military Health Care Provider
1705 SAINT MARY ST
KNOXVILLE, TN 37917
Knox County (865) 370-2128
MICHELLE WALKER
Dental Hygienist
1705 SAINT MARY ST
KNOXVILLE, TN 37917
Knox County (865) 370-2127
DR. COURTNEY HECKMAN CROOM DMD
Dentist
1705 SAINT MARY ST
KNOXVILLE, TN 37917
Knox County (865) 370-2128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shahram Samy's NPI number?

The NPI number for Shahram Samy is 1437184645. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Shahram Samy located?

Shahram Samy practices at 1705 Saint Mary St, Knoxville, TN 37917. The listed phone number is (865) 370-2174.

What is Shahram Samy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Shahram Samy enrolled in Medicare?

No. Shahram Samy has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shahram Samy was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.