Individual provider Active NPI

Pauline Sou, DMD

  • Dentist
  • Seekonk, MA
National Provider Identifier
1447740097
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1857964 Issued in MA
Practice address
1201 Fall River Ave
Seekonk, MA 02771
Phone
(508) 948-0872
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN1857964 MA Primary

Addresses

Primary practice location

1201 Fall River Ave
Seekonk, MA 02771

Mailing address

53 School St
Attleboro, MA 02703-3933
Phone (774) 254-5422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210122000871 CT Order and Referring Only - DentistPractitioner - Dentist 9133533771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1857964MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rouhanian Dental Associates LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

84 Thomas Johnson Ct
Ste A
Frederick, MD 21702
Phone (301) 473-4970

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.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1447740097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SCHOOL ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033933",
            "telephone_number": "774-254-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "02771",
            "telephone_number": "508-948-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOU",
        "first_name": "PAULINE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seekonk, MA

Sources for this page

Verify at the official NPI Registry.