Active NPI
Aylen Socarras
- General Practice Dentistry
- West Palm Beach, FL
National Provider Identifier
1801454301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28323
- Practice address
- 1217 S Military TRL Ste B
West Palm Beach, FL 33415-4600 - Phone
- (786) 447-4277
- NPI assigned
- May 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 19-82733 | FL | |
| General Practice Dentistry | 1223G0001X | 28323 | FL | Primary |
Addresses
Primary practice location
1217 S Military TRL Ste B
West Palm Beach, FL 33415-4600
Mailing address
1019 Larch Way
Wellington, FL 33414-5101
Phone (786) 447-4277
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19-82733 | FL | MD | Behavior Technician |
| 28323 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691193600000",
"number": "1801454301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 LARCH WAY",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334145101",
"telephone_number": "786-447-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 S MILITARY TRL STE B",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334154600",
"telephone_number": "786-447-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCARRAS",
"first_name": "AYLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-31",
"last_updated": "2023-08-05",
"certification_date": "2023-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "19-82733",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "28323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.