Individual provider Active NPI

Dulce Sofia Cano

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1275033664
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP136541 Issued in TX
Practice address
1255 W 15TH St Ste 100
Plano, TX 75075-7262
Phone
(888) 562-5442
Fax
(562) 499-6171
NPI assigned
Feb 13, 2018
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 4704368570 MI
Nurse Practitioner 363L00000X AP136541 TX Primary

Addresses

Primary practice location

1255 W 15TH St Ste 100
Plano, TX 75075-7262

Mailing address

PO Box 812
McAllen, TX 78505-0812

Other practice location 1

3719 Alvarado St
Edinburg, TX 78539-9612
Phone (956) 862-1515

Other practice location 2

200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone (562) 435-3666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180810002309 TX Practitioner - Nurse Practitioner 2860740560 Reassigns benefits to 1 organization
I20201116000775 MI Practitioner - Nurse Practitioner 2860740560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136541TXMDNurse Practitioner
4704368570MIMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: dcano8755@direct-prd.molinahealthcare.com

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, 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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1275033664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785050812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W 15TH ST STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757262",
            "telephone_number": "888-562-5442",
            "fax_number": "562-499-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3719 Alvarado St",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785399612",
            "country_code": "US",
            "telephone_number": "956-862-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Oceangate Ste 100",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908024317",
            "country_code": "US",
            "telephone_number": "562-435-3666",
            "fax_number": "562-499-6171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANO",
        "first_name": "DULCE",
        "middle_name": "SOFIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704368570",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.