SAMANTHA BORDENER DDS
NPI 1811570153
Dentist - General Practice in Hermosa Beach, CA

Q: What is Samantha Bordener's NPI number?

The NPI number for Samantha Bordener is 1811570153. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Q: What is Samantha Bordener'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 Samantha Bordener was last updated on July 4, 2022. 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.

Active since May 04, 2021PECOS Enrolled

1559 PACIFIC COAST HWY STE 101, HERMOSA BEACH, CA 90254(310) 372-7686 Get Directions Write a Review

NPPES record last updated: July 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2022, May 4, 2021 (2 updates tracked since 2021).

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About Samantha Bordener Dds NPPES

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

SAMANTHA BORDENER DDS (NPI 1811570153) is an individual general practice provider in Hermosa Beach, California, licensed in California (107447) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811570153

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSAMANTHA BORDENERCredential: DDS

Location Address1559 PACIFIC COAST HWY STE 101Hermosa Beach, CA 90254-3214

Mailing Address1559 Pacific Coast Hwy Ste 101Hermosa Beach, CA 90254-3214 · (310) 372-7686

Phone(310) 372-7686

Sole ProprietorNo

Enumeration DateMay 4, 2021

Last NPPES UpdateJuly 4, 20222 updates tracked since enumeration

NPPES CertifiedJuly 4, 2022

✔ NPI 1811570153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 107447

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 107447 (CA)

1559 PACIFIC COAST HWY STE 101, Hermosa Beach, CA 90254

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Samantha Bordener 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 90254 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 2

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

RAMSEY ZEIN

Dentist

1559 PACIFIC COAST HWY STE 101
HERMOSA BEACH, CA 90254

Los Angeles County (310) 372-7686

ANNA RAYMOND

Dentist

1559 PACIFIC COAST HWY STE 101
HERMOSA BEACH, CA 90254

Los Angeles County (310) 372-7686

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 Bordener's NPI number?

The NPI number for Samantha Bordener is 1811570153. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Samantha Bordener located?

Samantha Bordener practices at 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254. The listed phone number is (310) 372-7686.

What is Samantha Bordener's specialty?

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

Is Samantha Bordener enrolled in Medicare?

Yes. Samantha Bordener is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Bordener accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Samantha Bordener 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 Samantha Bordener was last updated on July 4, 2022. 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.