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SAMANTHA ROBLES DMD, MSD
NPI 1770966590
Dentist - Periodontics in Durham, NC

Active since June 30, 2015Opted out of Medicare · through Nov 6, 2027
2900 CROASDAILE DR, SUITE 1, DURHAM, NC 27705(919) 383-6611 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Robles Dmd, Msd NPPES

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

SAMANTHA ROBLES DMD, MSD (NPI 1770966590) is an individual periodontics provider in Durham, North Carolina, licensed in North Carolina (10401) and active in the NPI registry since June 2015. She has opted out of Medicare through November 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770966590
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameSAMANTHA ROBLESCredential: DMD, MSD
Location Address2900 CROASDAILE DR, SUITE 1Durham, NC 27705-2579
Mailing Address2900 Croasdaile Dr, Suite 1Durham, NC 27705-2579 · (919) 383-6611
Phone(919) 383-6611
Sole ProprietorYes
Enumeration DateJune 30, 2015
Last NPPES UpdateOctober 4, 2016
✔ NPI 1770966590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NC · 10401
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.
Also ListedDentistTaxonomy 122300000X · License 8480 (SC)
2900 CROASDAILE DR, Durham, NC 27705
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samantha Robles Dmd, Msd 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 November 6, 2017 through November 6, 2027.

Opt-Out Effective DateNovember 6, 2017
Opt-Out In Effect ThroughNovember 6, 2027Opt-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 27705 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.

Other Providers at the Same Location NPPES 7

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

DR. BRUCE ALAN PATE O.D.
Optometrist
2900 CROASDAILE DR, STE. 6
DURHAM, NC 27705
Durham County (919) 683-2020
WILSON ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
2900 CROASDAILE DR, SUITE 3
DURHAM, NC 27705
Durham County (919) 383-7423
DR. MICHAEL JEREMY WILSON DDS PA
Dentist (Orthodontics and Dentofacial Orthopedics)
2900 CROASDAILE DR, SUITE 3
DURHAM, NC 27705
Durham County (919) 383-7423
DR. KENNETH L WALKER DDS
Dentist (General Practice)
2900 CROASDAILE DR, ST 2
DURHAM, NC 27705
Durham County (919) 383-8619
OPTOMETRIC CENTER, P.A.
Clinic/Center
2900 CROASDAILE DR
DURHAM, NC 27705
Durham County (919) 683-2020
DRS. TURNER & BUTLER DMD PA
Dentist (General Practice)
2900 CROASDAILE DR, SUITE 5
DURHAM, NC 27705
Durham County (919) 383-7402
DR. JASON WINFIELD BUTLER D.M.D.
Dentist (General Practice)
2900 CROASDAILE DR, SUITE #5
DURHAM, NC 27705
Durham County (919) 383-7402

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 Samantha Robles's NPI number?

The NPI number for Samantha Robles is 1770966590. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Samantha Robles located?

Samantha Robles practices at 2900 Croasdaile Dr Suite 1, Durham, NC 27705. The listed phone number is (919) 383-6611.

What is Samantha Robles's specialty?

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

Is Samantha Robles enrolled in Medicare?

No. Samantha Robles has opted out of Medicare through November 6, 2027. 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 Samantha Robles was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.