Individual provider Active NPI

Michele Ferreira de Souza, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1295225639
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33868 Issued in TX
Practice address
13048 Research Blvd
Austin, TX 78750-3205
Phone
(512) 257-2828
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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 33868 TX Primary

Addresses

Primary practice location

13048 Research Blvd
Austin, TX 78750-3205

Mailing address

4707 Pelham Dr
Austin, TX 78727-5875
Phone (512) 815-7189

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
33868TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michele Souza DDS PLLC General Practice Current 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": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1295225639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 PELHAM DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787275875",
            "telephone_number": "512-815-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13048 RESEARCH BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787503205",
            "telephone_number": "512-257-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA DE SOUZA",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.