Elevteria Coutras, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16690 Issued in FL

Practice address

2655 East Oakland Park Blvd
Suite 5
Ft. Lauderdale, FL 33306

Phone

(954) 566-7569

Fax

(954) 566-7036

NPI assigned

Mar 19, 2007

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

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TLC Dental - Ft. Lauderdale, LLC

  • General Practice Dentistry
  • Ft Lauderdale, FL
  • NPI 1053444869
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689798431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 NORTH BAY ROAD",
            "address_2": "#1102",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "954-566-7569",
            "fax_number": "954-566-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 EAST OAKLAND PARK BLVD",
            "address_2": "SUITE 5",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-566-7569",
            "fax_number": "954-566-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTRAS",
        "first_name": "ELEVTERIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Courchia
• Jesus Dela Couret, LMT
• Kristeen Courtney, LCSW
• Johanna Courts
• Jessica Coutain
• Cove Center for Recovery
• Cove Counseling Group
• Covenant House Florida, Inc.
• Grace Elizabeth Cowan, APRN, AANP-BC
• Cowellness Group LLC

• General Practice Dentistry in Ft. Lauderdale, FL
• Providers in Ft. Lauderdale, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.