Active NPI
Jennifer Sorroza, D.M.D.
- General Practice Dentistry
- Lauderhill, FL
National Provider Identifier
1720247174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN18251
- Practice address
- 1600 N State Road 7
Lauderhill, FL 33313-5853 - Phone
- (954) 581-9228
- Fax
- (954) 581-7338
- NPI assigned
- Jun 2, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN18251 | FL | Primary |
Addresses
Primary practice location
1600 N State Road 7
Lauderhill, FL 33313-5853
Mailing address
9865 NW 2ND CT
Plantation, FL 33324-7095
Phone (954) 309-6939
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160315001975 | FL | Order and Referring Only - Dentist | 3476859588 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18251 | FL | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1720247174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9865 NW 2ND CT",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333247095",
"telephone_number": "954-309-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N STATE ROAD 7",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333135853",
"telephone_number": "954-581-9228",
"fax_number": "954-581-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORROZA",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN18251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
- Solomon & Solomon Medical Clinic
- Karen Celeste Solomon, LPN
- Macy Chanel Solomon, LMT
- Patricia Solomon, PAC
- Valerie Solomon, MD
- South Florida Dental Sleep Medicine LLC
- South Florida Medical Centers, Inc
- South Florida Rehab & Wellness Center LLC
- South Shore Opticians Lauderhill Inc
- South Shore Opticians Lauderhill Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.