Active NPI
Josmar Suarez, DMD
- Dentist
- Estero, FL
National Provider Identifier
1598457426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN27872
- Practice address
- 20330 Grande Oak Shoppes Blvd Unit 101
Estero, FL 33928-7663 - Phone
- (239) 319-2363
- NPI assigned
- May 22, 2023
- Last updated
- Oct 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN27872 | FL | Primary |
| Dentist | 122300000X | 40091 | TX |
Addresses
Primary practice location
20330 Grande Oak Shoppes Blvd Unit 101
Estero, FL 33928-7663
Mailing address
20609 E Golden Elm Dr Apt 2G
Estero, FL 33928-3471
Phone (201) 547-0042
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN27872 | FL | MD | Dentist |
| 40091 | TX | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1598457426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20609 E GOLDEN ELM DR APT 2G",
"city": "ESTERO",
"state": "FL",
"postal_code": "339283471",
"telephone_number": "201-547-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20330 GRANDE OAK SHOPPES BLVD UNIT 101",
"city": "ESTERO",
"state": "FL",
"postal_code": "339287663",
"telephone_number": "239-319-2363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "JOSMAR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN27872",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "40091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.