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DR. WALTER VINCENT SAMUEL D.D.S.
NPI 1891920542
Student in an Organized Health Care Education/Training Program in Fargo, ND

Active since May 26, 2009PECOS Enrolled
2605 64TH AVE S, FARGO, ND 58104(701) 799-4381 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Walter Vincent Samuel D.d.s. NPPES

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

DR. WALTER VINCENT SAMUEL D.D.S. (NPI 1891920542) is an individual student in an organized health care education/training program in Fargo, North Dakota and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891920542
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WALTER VINCENT SAMUELCredential: D.D.S.
Location Address2605 64TH AVE SFargo, ND 58104-7403
Mailing Address2605 64th Ave SFargo, ND 58104-7403 · (701) 799-4381
Phone(701) 799-4381
Sole ProprietorYes
Enumeration DateMay 26, 2009
✔ NPI 1891920542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2605 64TH AVE S, Fargo, ND 58104
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Accepted Insurance

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

Dr. Walter Vincent Samuel D.d.s. 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.

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 Walter Samuel's NPI number?

The NPI number for Walter Samuel is 1891920542. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Walter Samuel located?

Walter Samuel practices at 2605 64th Ave S, Fargo, ND 58104. The listed phone number is (701) 799-4381.

What is Walter Samuel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Walter Samuel enrolled in Medicare?

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

What insurance does Walter Samuel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Minnesota list Walter Samuel 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 Walter Samuel was last updated on May 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.