Active NPI
Jennifer Pham Somoray, DDS
- Prosthodontics
- Merritt Island, FL
National Provider Identifier
1376170266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 26322
- Practice address
- 2180 N Courtenay Pkwy
Merritt Island, FL 32953-4236 - Phone
- (321) 452-3388
- NPI assigned
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16850 | MD | |
| Prosthodontics | 1223P0700X | 26322 | FL | Primary |
Addresses
Primary practice location
2180 N Courtenay Pkwy
Merritt Island, FL 32953-4236
Mailing address
2180 N Courtenay Pkwy
Merritt Island, FL 32953-4236
Phone (321) 452-3388
Other names 1
- Dr. Jennifer Pham Nguyen
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 |
|---|---|---|---|
| 16850 | MD | MD | Dentist |
| 26322 | FL | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Prosthodontics PA | Prosthodontics | 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.
-
- Prosthodontics
- Merritt Island, FL
- NPI 1659714095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1376170266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 N COURTENAY PKWY",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534236",
"telephone_number": "321-452-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 N COURTENAY PKWY",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534236",
"telephone_number": "321-452-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMORAY",
"first_name": "JENNIFER",
"middle_name": "PHAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16850",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "26322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "NGUYEN",
"middle_name": "PHAM",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.