Individual provider Active NPI

Alba R Cordero Sanz

  • Dentist
  • Summerfield, FL
National Provider Identifier
1740034164
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN32584 Issued in FL
Practice address
17136 SE 109TH Terrace Rd # Re
Summerfield, FL 34491-9031
Phone
(352) 245-0780
NPI assigned
Apr 12, 2024
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN32584 FL Primary

Addresses

Primary practice location

17136 SE 109TH Terrace Rd # Re
Summerfield, FL 34491-9031

Mailing address

223 Marion Oaks Golf Way
Ocala, FL 34473-3570
Phone (305) 923-6614

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
RES.004722OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1740034164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MARION OAKS GOLF WAY",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344733570",
            "telephone_number": "305-923-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17136 SE 109TH TERRACE RD # RE",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344919031",
            "telephone_number": "352-245-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO SANZ",
        "first_name": "ALBA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN32584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.