Individual provider Active NPI

Susana Alvarez Serna, DMD

  • Dentist
  • Somerville, MA
National Provider Identifier
1427772144
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859631 Issued in MA
Practice address
445 Artisan Way Apt 329
Somerville, MA 02145-1241
Phone
(813) 619-1818
NPI assigned
Sep 27, 2022
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859631 MA Primary

Addresses

Primary practice location

445 Artisan Way Apt 329
Somerville, MA 02145-1241

Mailing address

445 Artisan Way Apt 329
Somerville, MA 02145-1241
Phone (813) 619-1818

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
DN1859631MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
La Perla Dentistry LLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

140 Union St
Ste 303
Lynn, MA 01901
Phone (781) 592-4438

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, 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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1427772144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ARTISAN WAY APT 329",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451241",
            "telephone_number": "813-619-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ARTISAN WAY APT 329",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451241",
            "telephone_number": "813-619-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ SERNA",
        "first_name": "SUSANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.