Sotirios Sam Moulinos, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN14630 Issued in FL

Practice address

3107 Stirling Rd
Suite 108
Fort Lauderdale, FL 33312

Phone

(954) 963-3706

Fax

(954) 963-1223

NPI assigned

Apr 24, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 8, 2015 through May 8, 2027

Medicare enrollment (NPD)

Not 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.

• Brad W. Graff D.M.D. PA

  • General Practice Dentistry
  • Fort Lauderdale, FL
  • NPI 1053534941
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760601520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BAY DR",
            "address_2": "SUITE 11",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33141",
            "telephone_number": "305-866-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD",
            "address_2": "SUITE 108",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-963-3706",
            "fax_number": "954-963-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULINOS",
        "first_name": "SOTIRIOS",
        "middle_name": "SAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valencia Winefred Moss
• Olivia Waasana Motha
• Motivational Institute for Behavioral Health, LLC
• Motivational Institute for Behavioral Health, LLC
• Sheree Denise Motta, PSY.D.
• Mount Sinai Urgent Care
• Mount Sinai Urgent Care Inc
• Antoine Mourani
• Fatemeh Rhana Mousavi, MD
• John Moushati, D.M.D.

• Dentist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dentist 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.