Brenda Flores Sousa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059051 Issued in NY

Practice address

6003 Big Tree Rd.
Lakeville, NY 14480

Phone

(585) 346-3028

Fax

(585) 756-5577

NPI assigned

Apr 23, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386031664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 BIG TREE RD.",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "14480",
            "telephone_number": "585-346-3028",
            "fax_number": "585-756-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 BIG TREE RD.",
            "city": "LAKEVILLE",
            "state": "NY",
            "postal_code": "14480",
            "telephone_number": "585-346-3028",
            "fax_number": "585-756-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES SOUSA",
        "first_name": "BRENDA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467897009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan S. Debruyne, AU.D
• Drew T Emerson, M.D.
• Family Dental Care of Livonia PC
• Finger Lakes Podiatry, PC
• Charmagne M Flanigan, DC
• Joshua Scaccia Goodman, PA
• Danielle S Haugh, LMT
• Taylor Marie Holmes, DPT
• Fitzgerald Anthony Hudson, MD
• Monica Jarzyna, COTA

• General Practice Dentistry in Lakeville, NY
• Providers in Lakeville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.