Individual provider Active NPI

Sophia Pierre Pierre Philippe

  • Dental Hygienist
  • Bonita Springs, FL
National Provider Identifier
1194304865
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
28018 Issued in FL
Practice address
26831 S Tamiami TRL Unit 48
Bonita Springs, FL 34134-7828
Phone
(239) 948-3200
Fax
(239) 948-3098
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 28018 FL Primary

Addresses

Primary practice location

26831 S Tamiami TRL Unit 48
Bonita Springs, FL 34134-7828

Mailing address

28028 Oak LN
Bonita Springs, FL 34135-6909
Phone (239) 692-1076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28018FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1194304865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28028 OAK LN",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356909",
            "telephone_number": "239-692-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26831 S TAMIAMI TRL UNIT 48",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347828",
            "telephone_number": "239-948-3200",
            "fax_number": "239-948-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE PHILIPPE",
        "first_name": "SOPHIA",
        "middle_name": "PIERRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "28018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.