Sergio Cuadros, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016053 Issued in MI

Practice address

16100 King Rd
Riverview, MI 48193-7972

Phone

(734) 479-3330

NPI assigned

Jun 27, 2008

Sex

Male

Sole proprietor

Yes

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 MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Harbor Dental

  • Dentist
  • Benton Harbor, MI
  • NPI 1992712061
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1710149026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143E MAIN ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224409",
            "telephone_number": "269-927-1313",
            "fax_number": "269-934-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 KING RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937972",
            "telephone_number": "734-479-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUADROS",
        "first_name": "SERGIO",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin J Cousineau, DC
• Nicole R Cousineau, DC
• Felicia Patreece Covington, LPN
• Nora S Creighton, FNP-BC
• Megan Ann Crim
• Te'Najah Davis, MS, BCBA, LBA
• Vincy Davis
• Deeb Shalhoub, MD, PC
• Dentistry for Children PC
• Design for Vision of Riverview LLC

• All providers in Riverview, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.