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Dr. Samuel Bo Rum Oh , DMD

Dentist - Pediatric Dentistry β€’ Prosper, TX

Active NPI 1194105809 Individual Practitioner Male Practitioner
Practice location in NPPES

3620 W 1st St Ste 40
Prosper, TX 750783493

Call 4695199951 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3620 W 1st St Ste 40

Prosper, TX 750783493

Telephone 4695199951
Organization at the Same NPPES Address or Phone
Samuel Oh Dmd Pllc Facility NPI 1558849158

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

Dentist - Pediatric Dentistry: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $11.62 in 2021

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2021.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Prosper and Texas

6 active clinicians are listed under Dentist - Pediatric Dentistry with a practice address in Prosper, TX (1,019 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2021
Disclosure Year:

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $11.62.

Manufacturer Payment Nature Product Type Amount ($)
Elevate Oral Care
Food and Beverage
Cash or cash equivalent
Fluorimax 5000 General $11.62

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-04
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES TX 33165

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES NV S6-153

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Practice Location January 04, 2024

Registered at 3620 W 1ST ST STE 40, PROSPER, TX 750783493 (Tel: 4695199951)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Dentist (license number reported to NPPES: NV S6-153)

πŸ“
Updated Practice Location July 20, 2020

Registered at 17569 FISHTRAP RD STE 80, PROSPER, TX 750785122 (Tel: 4695199951)

πŸ“
Updated Business Mailing Address July 20, 2020

Registered at 17569 FISHTRAP RD STE 80, PROSPER, TX 750785122 (Tel: 4695199951)

βœ…
NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 21, 2017

Registered at 1026 E WHEATLAND RD, DUNCANVILLE, TX 751164914 (Tel: 9722961835)

πŸ“
Updated Business Mailing Address August 21, 2017

Registered at 1955 MARKET CENTER BLVD APT 1314, DALLAS, TX 752073458 (Tel: (408) 550-6341)

πŸ‘€
Provider Name / Credentials Updated August 21, 2017

Recorded as SAMUEL OH, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Dentist (license number reported to NPPES: NV S6-153)

πŸ“
Updated Practice Location July 10, 2017

Registered at 1026 E WHEATLAND RD, DUNCANVILLE, TX 751164914 (Tel: 9722961835)

πŸ“
Updated Business Mailing Address July 10, 2017

Registered at 1955 MARKET CENTER BLVD APT 1314, DALLAS, TX 752073458 (Tel: (408) 550-6341)

βœ…
NPI Profile Active June 09, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2015

Registered at 1001 SHADOW LN # MS 7423, LAS VEGAS, NV 891064124 (Tel: 4085506341)

πŸ“
Business Mailing Address (Initial Record) June 09, 2015

Registered at 1001 SHADOW LN # MS 7423, LAS VEGAS, NV 891064124 (Tel: 4085506341)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2015

Recorded as SAMUEL OH, D.M.D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2015

Dentist (license number reported to NPPES: NV 6645)

🟒
Initial NPI Registration & Enumeration June 08, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194105809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2015
Last Update: January 04, 2024
Sole Proprietor: No

Mailing Address

17569 Fishtrap Rd Ste 80

Prosper, TX 750785122

Phone: 4695199951

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.