Individual provider Active NPI

Daymary Pinero Soyano, DMD

  • Dentist
  • Sarasota, FL
National Provider Identifier
1184000580
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN23922 Issued in FL
Practice address
3466 Clark Rd Ste 410
Sarasota, FL 34231-8406
Phone
(941) 927-1705
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1856652 MA
Dentist 122300000X DN23922 FL Primary

Addresses

Primary practice location

3466 Clark Rd Ste 410
Sarasota, FL 34231-8406

Mailing address

14A Gates LN
Wakefield, MA 01880-3994
Phone (857) 526-3328

Other practice location 1

14A Gates Ln
Wakefield, MA 01880-3994
Phone (857) 526-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315001548 FL Order and Referring Only - DentistPractitioner - Dentist 0547500258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856652MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. Dentist Past Accepting new patients
Coast Dental P.a. Dentist PastSince Jun 22, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1184000580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14A GATES LN",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803994",
            "telephone_number": "857-526-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 CLARK RD STE 410",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318406",
            "telephone_number": "941-927-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14A Gates Ln",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "MA",
            "postal_code": "018803994",
            "country_code": "US",
            "telephone_number": "857-526-3328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOYANO",
        "first_name": "DAYMARY",
        "middle_name": "PINERO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856652",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.