Suzet Del Carmen Montes de Oca Calas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23643 Issued in FL

Practice address

1573 Saxon Blvd Ste 100&101
Deltona, FL 32725

Phone

(386) 218-0046

NPI assigned

Jul 9, 2018

Reactivated

Jan 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1194211508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 SAXON BLVD STE 100&101",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255833",
            "telephone_number": "386-222-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 SAXON BLVD STE 100&101",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "32725",
            "telephone_number": "386-218-0046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2513 Grassy Point Dr Unit 201",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327466592",
            "country_code": "US",
            "telephone_number": "786-624-7095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTES DE OCA CALAS",
        "first_name": "SUZET",
        "middle_name": "DEL CARMEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "deactivation_date": "2020-12-01",
        "reactivation_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Mitwalli, LMFT
• MMC Medical Center, Inc.
• Christy Molina
• Jasmine Molina
• Jenny Mondragon
• Yelenis Montes
• Dwight M Morant Jr.
• Marietta Moret
• Ivy Grace E Morgan
• Chani Morman, ARNP

• General Practice Dentistry in Deltona, FL
• Providers in Deltona, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.