Active NPI
Ximena Checa, DMD
- Dentist
- Clewiston, FL
National Provider Identifier
1356861405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22545
- Practice address
- 212 E Sugarland Hwy
Clewiston, FL 33440-3122 - Phone
- (863) 983-4847
- NPI assigned
- Jun 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN22545 | FL | Primary |
Addresses
Primary practice location
212 E Sugarland Hwy
Clewiston, FL 33440-3122
Mailing address
212 E Sugarland Hwy
Clewiston, FL 33440-3122
Phone (863) 983-4847
Other practice location 1
212 E Sugarland Hwy
Clewiston, FL 33440-3122
Phone (863) 983-4847
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN22545 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1356861405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E SUGARLAND HWY",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334403122",
"telephone_number": "863-983-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E SUGARLAND HWY",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334403122",
"telephone_number": "863-983-4847"
}
],
"practiceLocations": [
{
"address_1": "212 E Sugarland Hwy",
"address_purpose": "LOCATION",
"city": "Clewiston",
"state": "FL",
"postal_code": "334403122",
"country_code": "US",
"telephone_number": "863-983-4847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHECA",
"first_name": "XIMENA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clewiston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.