Shalia Marie Santana Pagan, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN23179 Issued in FL

Practice address

926 Great Pond Dr Ste 2002
Altamonte Springs, FL 32714-7699

Phone

(407) 772-5206

NPI assigned

Jul 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1265720072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 GREAT POND DR STE 2002",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147699",
            "telephone_number": "407-772-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 GREAT POND DR STE 2002",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147699",
            "telephone_number": "407-772-5206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Tulip street, Parque de Monteverde",
            "address_2": "10-2",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00926",
            "country_code": "US",
            "telephone_number": "939-969-2473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA PAGAN",
        "first_name": "SHALIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN23179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Nathalia Sanchez, PTA
• Michael G Sandborn, MD
• Leonides Sandoval
• Milagros Saninocencio-Cruz
• Twyla D Sanks, MS, LMHC
• Kimberly Santana Parrilla
• Laurie Santiag, LPTA
• Roberto Candido Santos, M.D.
• Mark Sanville
• Saphena Vein Clinic & Wellness Center, LLC

• Periodontics in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.