Samuel Tack
NPI 1033658406 · Oral and Maxillofacial Surgery (Dentist) · Richmond, VA
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Tack is a Oral and Maxillofacial Surgery (Dentist) provider in Richmond, VA (NPI 1033658406).
Provider details
- NPI number
- 1033658406
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401415733 (VA)
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
9 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$41 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 27005 76th AveNew Hyde Park, NY 11040-1402Phone: (718) 470-7000
Registry dates
- Enumerated
- 2017-02-18
- Last updated
- 2023-09-11
- Certified
- 2023-09-11
Frequently asked questions
- What is Samuel Tack's NPI number?
- Samuel Tack's National Provider Identifier (NPI) is 1033658406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Tack's specialty?
- Samuel Tack is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Samuel Tack located?
- Samuel Tack's practice location on file with NPPES is 520 N 12th St, Richmond, VA 23298-5064.
- What is Samuel Tack's phone number?
- The practice phone number listed in the NPPES registry for Samuel Tack is (804) 628-7146.
- Does Samuel Tack accept Medicare?
- Samuel Tack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Tack's NPI active?
- Yes — Samuel Tack's NPI (1033658406) is active in the NPPES registry as of the last update on 2023-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.