SAMUEL TALLER D.M.D.
NPI 1639388531
Dentist - General Practice in Bronx, NY

Q: What is Samuel Taller's NPI number?

The NPI number for Samuel Taller is 1639388531. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Samuel Taller'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 Taller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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 May 21, 2007PECOS Enrolled

3601 WALDO AVE, BRONX, NY 10463(718) 543-3700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Samuel Taller D.m.d. NPPES

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

SAMUEL TALLER D.M.D. (NPI 1639388531) is an individual general practice provider in Bronx, New York, licensed in New York (36678) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639388531

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSAMUEL TALLERCredential: D.M.D.

Location Address3601 WALDO AVEBronx, NY 10463-2223

Mailing Address3601 Waldo AveBronx, NY 10463-2223 · (718) 543-3700

Phone(718) 543-3700

Sole ProprietorYes

Enumeration DateMay 21, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639388531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 36678

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.

3601 WALDO AVE, Bronx, NY 10463

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 Taller D.m.d. 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 10463 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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

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

FSH DENTAL

Clinic/Center (Dental)

3601 WALDO AVE
BRONX, NY 10463

Bronx County (718) 543-3700

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 Samuel Taller's NPI number?

The NPI number for Samuel Taller is 1639388531. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Samuel Taller located?

Samuel Taller practices at 3601 Waldo Ave, Bronx, NY 10463. The listed phone number is (718) 543-3700.

What is Samuel Taller's specialty?

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

Is Samuel Taller enrolled in Medicare?

Yes. Samuel Taller is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Taller accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life list Samuel Taller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Taller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.