DR. SAMMIE JO FAT DDS
NPI 1720610652
Dentist - General Practice in New York, NY
About Dr. Sammie Jo Fat Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMMIE JO FAT DDS (NPI 1720610652) is an individual general practice provider in New York, New York, licensed in New York (061972) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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)
Dr. Sammie Jo Fat Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sammie Fat's NPI number?
The NPI number for Sammie Fat is 1720610652. It was assigned to this individual provider in the NPPES registry on February 9, 2020.
Where is Sammie Fat located?
Sammie Fat practices at 776 6th Ave, New York, NY 10001. The listed phone number is (646) 969-5632.
What is Sammie Fat's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Sammie Fat enrolled in Medicare?
Yes. Sammie Fat is registered in the Medicare PECOS enrollment system.
What insurance does Sammie Fat 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 Humana list Sammie Fat 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 Sammie Fat was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Sammie Jo Fat, DDS · NPI 1720610652
General Practice provider in New York, New York. Individual provider, active in the CMS NPPES registry since February 9, 2020.
## Identity
- **NPI:** 1720610652 (Entity type: Individual)
- **Enumerated:** February 9, 2020
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 061972 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 776 6TH AVE, New York, NY 10001-6354
- **Phone:** (646) 969-5632
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** December 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1720610652) · Data from the CMS NPPES public registry.