Individual provider Active NPI

Sandra Ferraz Marimoto I

  • General Practice Dentistry
  • Coral Springs, FL
National Provider Identifier
1508421439
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26260 Issued in FL
Practice address
5481 N University Dr
Coral Springs, FL 33067-4643
Phone
(954) 577-5548
NPI assigned
May 6, 2019
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 26260 FL Primary

Addresses

Primary practice location

5481 N University Dr
Coral Springs, FL 33067-4643

Mailing address

489 Fishtail Ter
Weston, FL 33327-2477
Phone (954) 638-7202

Other practice location 1

489 Fishtail Ter
Weston, FL 33327-2477
Phone (954) 638-7202

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
26260FLMDPediatric Occupational Therapist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1508421439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 FISHTAIL TER",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272477",
            "telephone_number": "954-638-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674643",
            "telephone_number": "954-577-5548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 Fishtail Ter",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333272477",
            "country_code": "US",
            "telephone_number": "954-638-7202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIMOTO",
        "first_name": "SANDRA",
        "middle_name": "FERRAZ",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.