DR. ALVIN REGINALD SAMUELS JR. DDS
NPI 1992187637
Dentist in Jacksonville, FL

Q: What is Alvin Samuels's NPI number?

The NPI number for Alvin Samuels is 1992187637. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Q: What is Alvin Samuels's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Alvin Samuels was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 18, 2015PECOS Enrolled

554 KEILY STREET, BUREAU OF MED AND SURG - CCPD, JACKSONVILLE, FL 32212(757) 953-0000 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Alvin Reginald Samuels Jr. Dds NPPES

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

DR. ALVIN REGINALD SAMUELS JR. DDS (NPI 1992187637) is an individual dentist in Jacksonville, Florida, licensed in Utah (9444378.9921) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992187637

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ALVIN REGINALD SAMUELS JR.Credential: DDS

Location Address554 KEILY STREET, BUREAU OF MED AND SURG - CCPDJacksonville, FL 32212

Mailing Address554 Keily Street, Bureau Of Med And Surg - CcpdJacksonville, FL 32212 · (757) 953-0000

Phone(757) 953-0000

Sole ProprietorYes

Enumeration DateJune 18, 2015

✔ NPI 1992187637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in UT · 9444378.9921

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

554 KEILY STREET, Jacksonville, FL 32212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Alvin Reginald Samuels Jr. 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 32212 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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. ERIN RAE SPADARO HAMERSLEY D.O.

Otolaryngology

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

DR. GRADY AUSBUR FORTNER M.D.

Emergency Medicine

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

DR. BENJAMIN DAVID HOAGLAND MD

Surgery

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

ANDREW STEADMAN

Dentist

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

DR. CHRISTOPHER SCOTT LOVE M.D.

Pediatrics

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

ZACHARY J JIN DMD

Dentist

554 KEILY STREET, BUREAU OF MED AND SURG CREDENTIALING AND PRIVILEGEING
JACKSONVILLE, FL 32212

Duval County (757) 953-1897

TYLISHA ELYSE DESHIELDS LCSW-C

Social Worker (Clinical)

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

JULIANNE BURKE DAVISON MD

Emergency Medicine

554 KEILY STREET
JACKSONVILLE, FL 32212

Duval County (757) 953-7550

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 Alvin Samuels's NPI number?

The NPI number for Alvin Samuels is 1992187637. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Where is Alvin Samuels located?

Alvin Samuels practices at 554 Keily Street Bureau Of Med And Surg - Ccpd, Jacksonville, FL 32212. The listed phone number is (757) 953-0000.

What is Alvin Samuels's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Alvin Samuels enrolled in Medicare?

Yes. Alvin Samuels is registered in the Medicare PECOS enrollment system.

What insurance does Alvin Samuels accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Alvin Samuels 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 Alvin Samuels was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.