SAMANTHA RAE DIDOMENICO D.D.S.
NPI 1891241527
Dentist - General Practice in Las Animas, CO
About Samantha Rae Didomenico D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA RAE DIDOMENICO D.D.S. (NPI 1891241527) is an individual general practice provider in Las Animas, Colorado, licensed in Colorado (202930) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Rae Didomenico D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Didomenico reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80917
- Reassigned Medicare billing, Colorado enrollment
- 355 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81054 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS ANIMAS, CO 81054
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 Didomenico's NPI number?
The NPI number for Samantha Didomenico is 1891241527. It was assigned to this individual provider in the NPPES registry on September 1, 2016. The provider is also known as Samantha Rae Smith D.D.S..
Where is Samantha Didomenico located?
Samantha Didomenico practices at 245 Vine Ave, Las Animas, CO 81054. The listed phone number is (719) 456-2653.
What is Samantha Didomenico's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Samantha Didomenico enrolled in Medicare?
Yes. Samantha Didomenico is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Didomenico's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Didomenico reassigns Medicare benefits to Peak Vista Community Health Centers (Colorado Springs, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Didomenico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Didomenico accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 5 other insurers list Samantha Didomenico 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 Didomenico was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Samantha Rae Didomenico, D.D.S. · NPI 1891241527
General Practice provider in Las Animas, Colorado. Individual provider, active in the CMS NPPES registry since September 1, 2016.
## Identity
- **NPI:** 1891241527 (Entity type: Individual)
- **Enumerated:** September 1, 2016
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 202930 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 245 VINE AVE, Las Animas, CO 81054
- **Phone:** (719) 456-2653
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Peak Vista Community Health Centers (NPI 1730166034, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1891241527) · Data from the CMS NPPES public registry.