Individual provider Active NPI

Sonia Del Pilar Pastas Moran

  • Dentist
  • Royal Palm Beach, FL
National Provider Identifier
1609500933
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27251 Issued in FL
Practice address
3103 Shoma Dr
Royal Palm Beach, FL 33414-4366
Phone
(561) 800-6008
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN27251 FL Primary

Addresses

Primary practice location

3103 Shoma Dr
Royal Palm Beach, FL 33414-4366

Mailing address

3103 Shoma Dr
Royal Palm Beach, FL 33414-4366
Phone (561) 800-6008

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
DN27251FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1609500933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 SHOMA DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144366",
            "telephone_number": "561-800-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 SHOMA DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144366",
            "telephone_number": "561-800-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTAS MORAN",
        "first_name": "SONIA",
        "middle_name": "DEL PILAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.