Sonia I. Pena, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN8594 Issued in FL

Practice address

3020 NE 32ND Ave Ste 322
Fort Lauderdale, FL 33308-7204

Phone

(954) 990-5363

Fax

(954) 990-5377

NPI assigned

Aug 7, 2006

Last updated

Dec 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sonia I Pena DMD PA

  dba Broward Endodontics

  • Endodontics
  • Fort Lauderdale, FL
  • NPI 1083624100
  NPD (past) Authorized official
• Danielle S. Jaffe, DDS P.a.

  dba Broward Endodontics

  • Endodontics
  • Fort Lauderdale, FL
  • NPI 1497165518
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1528077476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 E BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012136",
            "telephone_number": "954-463-3636",
            "fax_number": "954-463-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 NE 32ND AVE STE 322",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087204",
            "telephone_number": "954-990-5363",
            "fax_number": "954-990-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "SONIA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN8594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Pellicia-Ramos, MD
• Yaritza Pena Curbelo
• Keyla Maria Pena Docunge
• Sandra Pena Suarez
• Nicole Maria Pena, DMD
• Kailash Pendem
• Brent M Pendergast, DNP,CRNA
• Micaela Pendola, MS
• Pennie's R US Home Health Care Agency Corporation
• Greg Penny

• Endodontics in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.