Individual provider Active NPI

Sonya Berriche, DDS

  • Dentist
  • Plano, TX
National Provider Identifier
1548828171
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34390 Issued in TX
Practice address
6202 W Park Blvd
Plano, TX 75093-6200
Phone
(972) 403-7364
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 34390 TX Primary

Addresses

Primary practice location

6202 W Park Blvd
Plano, TX 75093-6200

Mailing address

4401 Munira Dr
Frisco, TX 75035-5722
Phone (972) 363-7798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190729001121 TX Order and Referring Only - DentistPractitioner - Dentist 0547596579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34390TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1548828171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MUNIRA DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355722",
            "telephone_number": "972-363-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 W PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936200",
            "telephone_number": "972-403-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRICHE",
        "first_name": "SONYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.