Stephanie Serrano, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DEN1002020 Issued in DC

Practice address

1145 19TH St NW Ste 314
Washington, DC 20036-3717

Phone

(202) 701-1555

NPI assigned

Jul 11, 2016

Last updated

Mar 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ideal Endodontics PLLC

  • Endodontics
  • Washington, DC
  • NPI 1275031486
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1033561329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363717",
            "telephone_number": "202-701-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363717",
            "telephone_number": "202-701-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "STEPHANIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021982",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "DC",
            "license": "DEN1002020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017192835",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pablo Serrano Rodriguez, M.D.
• Alfaqueny Serrano
• Angelyce Alexis Serrano, LCSW
• Jenny Elizabeth Serrano
• Mariastella Serrano, MD
• Wendy Serrano, HHA
• Ali Serry
• Mercedes Servano
• Servant of All
• Service Disabled Veterans Oasis

• Endodontics in Washington, DC
• Providers in Washington, DC by specialty
• Endodontics in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.