Active NPI
Sonia Botros Mikhail, D.D.S.
- Dentist
- Fresno, CA
National Provider Identifier
1689742553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50956
- Practice address
- 7455 N Fresno St Ste 201
Fresno, CA 93720-2481 - Phone
- (559) 256-2627
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50956 | CA | Primary |
Addresses
Primary practice location
7455 N Fresno St Ste 201
Fresno, CA 93720-2481
Mailing address
1860 N Traverse Ave
Clovis, CA 93619-9597
Phone (559) 346-8486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151023001482 | CA | Order and Referring Only - Oral Surgery | 5294044798 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50956 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1689742553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 N TRAVERSE AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936199597",
"telephone_number": "559-346-8486",
"fax_number": "559-323-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 N FRESNO ST STE 201",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202481",
"telephone_number": "559-256-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKHAIL",
"first_name": "SONIA",
"middle_name": "BOTROS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.