Individual provider Active NPI

Susana F. Socas, D.M.D.

  • General Practice Dentistry
  • Coral Gables, FL
National Provider Identifier
1245353176
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 11369 Issued in FL
Practice address
555 Biltmore Way
Suite 202
Coral Gables, FL 33134-5757
Phone
(305) 443-1411
Fax
(305) 443-5995
NPI assigned
Apr 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 11369 FL Primary

Addresses

Primary practice location

555 Biltmore Way
Suite 202
Coral Gables, FL 33134-5757

Mailing address

555 Biltmore Way
Suite 202
Coral Gables, FL 33134-5757
Phone (305) 443-1411

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
I20150320001611 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1658698147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 11369FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Susana F. Socas, D.M.D., P.a. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245353176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BILTMORE WAY",
            "address_2": "SUITE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345757",
            "telephone_number": "305-443-1411",
            "fax_number": "305-443-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BILTMORE WAY",
            "address_2": "SUITE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345757",
            "telephone_number": "305-443-1411",
            "fax_number": "305-443-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCAS",
        "first_name": "SUSANA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 11369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.