Individual provider Active NPI

Soraya Gomez, D.M.D.

  • General Practice Dentistry
  • New Carlisle, OH
National Provider Identifier
1427004456
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30021890 Issued in OH
Practice address
106 N Main St
New Carlisle, OH 45344-1835
Phone
(937) 667-1122
Fax
(419) 225-8878
NPI assigned
May 25, 2006
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 30021890 OH Primary

Addresses

Primary practice location

106 N Main St
New Carlisle, OH 45344-1835

Mailing address

329 N West St
Lima, OH 45801-4332
Phone (419) 221-3072

Other identifiers 1

IdentifierTypeStateIssuer
2703882MedicaidOH

Other names 1

  • Soraya Greer Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017002722 OH Practitioner - Dentist 0941528012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Sep 5, 2017 Accepting new patients
Health Partners of Western Ohio CurrentSince Sep 5, 2017 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients

Locations

228 S Main St
Bryan, OH 43506
Phone (567) 239-4562

111 W Espy St
Kenton, OH 43326
Phone (419) 679-5994

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

329 N West St
Lima, OH 45801
Phone (419) 229-6007

329 N West St
Fl 2
Lima, OH 45801

441 E 8th St
Lima, OH 45804
Phone (419) 221-3723

106 N Main St
New Carlisle, OH 45344
Phone (937) 667-1122

1344 W Seneca Ave
Tiffin, OH 44883
Phone (419) 447-6900

2244 Collingwood Blvd
Toledo, OH 43620
Phone (567) 318-3891

301 Morrison Dr
Toledo, OH 43605
Phone (419) 671-7000

5601 Clegg Dr
Toledo, OH 43613
Phone (419) 473-8330

Organizations & group practices 10

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1427004456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441835",
            "telephone_number": "937-667-1122",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SORAYA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30021890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2703882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SORAYA",
            "last_name": "GREER",
            "credential": "D.M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Carlisle, OH

Sources for this page

Verify at the official NPI Registry.