1. Home
  2. Directory
  3. Kentucky
  4. Hazard
  5. Dentist
  6. NPI Profile

MAURO PEDRINE SANTAMARIA DDS
NPI 1790402113
Dentist - Periodontics in Hazard, KY

Active since October 26, 2022PECOS Enrolled
750 MORTON BLVD, HAZARD, KY 41701(606) 439-3557(606) 439-1422 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2024, Oct 26, 2022 (2 updates tracked since 2022).

About Mauro Pedrine Santamaria Dds NPPES

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

MAURO PEDRINE SANTAMARIA DDS (NPI 1790402113) is an individual periodontics provider in Hazard, Kentucky, licensed in Kentucky (10855) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1790402113
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMAURO PEDRINE SANTAMARIACredential: DDS
Location Address750 MORTON BLVDHazard, KY 41701-9469
Mailing Address1095 Veterans Dr Office 406bLexington, KY 40536-0305 · (443) 563-7917
Phone(606) 439-3557
Fax(606) 439-1422
Sole ProprietorNo
Enumeration DateOctober 26, 2022
Last NPPES UpdateApril 18, 20252 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
✔ NPI 1790402113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in KY · 10855
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 10855 (KY)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 10855 (KY)
750 MORTON BLVD, Hazard, KY 41701
Open in Google Maps ↗

Other Names 1

Other Name (5)Mauro Pedrine Santamaria Dds, Ms, Phd

Secondary Practice Location 1

Location 12195 Harrodsburg Rd Ste 175Lexington, KY 40504-3523 · Phone (859) 323-8873 · Fax (859) 323-7193

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mauro Pedrine Santamaria 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 41701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 20

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

DR. SHERRY SLONE DMD
Dentist (Dental Public Health)
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-1559
DANIEL HOLT D.O.
Family Medicine
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-3557
ZACHARY AARON COMBS
Student in an Organized Health Care Education/Training Program
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-1559
HARMAN ANTAAL MBBS, MD
Family Medicine
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-3557
MS. ROBYN GAIL NAPIER LCSW
Social Worker (Clinical)
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 493-1559
NURUDDIN HUSEIN DO
Family Medicine
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-1559
COREY AUSTIN BENTLEY DMD
Dentist (General Practice)
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-3557
NORTH FORK VALLEY COMMUNITY HEALTH BOARD, INC.
Family Medicine
750 MORTON BLVD
HAZARD, KY 41701
Perry County (606) 439-1559

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 Mauro Pedrine Santamaria's NPI number?

The NPI number for Mauro Pedrine Santamaria is 1790402113. It was assigned to this individual provider in the NPPES registry on October 26, 2022. The provider is also known as Mauro Pedrine Santamaria Dds, Ms, Phd.

Where is Mauro Pedrine Santamaria located?

Mauro Pedrine Santamaria practices at 750 Morton Blvd, Hazard, KY 41701. The listed phone number is (606) 439-3557.

What is Mauro Pedrine Santamaria's specialty?

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

Is Mauro Pedrine Santamaria enrolled in Medicare?

Yes. Mauro Pedrine Santamaria is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mauro Pedrine Santamaria was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.