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DR. SAMUEL JOHN DEANGELO DDS
NPI 1740488501
Dentist - Periodontics in Cary, NC

Active since July 03, 2007PECOS Enrolled
1142 EXECUTIVE CIRCLE, SUITE B, CARY, NC 27518(919) 467-3213(919) 467-3246 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel John Deangelo Dds NPPES

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

DR. SAMUEL JOHN DEANGELO DDS (NPI 1740488501) is an individual periodontics provider in Cary, North Carolina, licensed in North Carolina (7596) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740488501
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SAMUEL JOHN DEANGELOCredential: DDS
Location Address1142 EXECUTIVE CIRCLE, SUITE BCary, NC 27518
Mailing Address1142 Executive Circle, Suite BCary, NC 27518 · (919) 467-3213 · Fax (919) 467-3246
Phone(919) 467-3213
Fax(919) 467-3246
Sole ProprietorNo
Enumeration DateJuly 3, 2007
Last NPPES UpdateJune 24, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1740488501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NC · 7596
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1142 EXECUTIVE CIRCLE, Cary, NC 27518
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of North Carolina.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. Samuel John Deangelo Dds 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 27518 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Deangelo's NPI number?

The NPI number for Samuel Deangelo is 1740488501. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Samuel Deangelo located?

Samuel Deangelo practices at 1142 Executive Circle Suite B, Cary, NC 27518. The listed phone number is (919) 467-3213.

What is Samuel Deangelo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Samuel Deangelo enrolled in Medicare?

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

What insurance does Samuel Deangelo accept?

Health plans from Delta Dental of North Carolina list Samuel Deangelo 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 Deangelo was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.