Organization Active NPI

Ana Soteras D.D.S, P.a

  • Dentist
  • Miami Gardens, FL
National Provider Identifier
1831351758
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13553 Issued in FL
Legal business name
ANA SOTERAS D.D.S, P.A
Practice address
4827 NW 183Rd St
Miami Gardens, FL 33055-2955
Phone
(305) 622-2622
Fax
(305) 622-3445
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Ana T Soteras, D.D.S, P.A
Title
Dentist
Phone
(305) 622-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN13553 FL Primary

Addresses

Primary practice location

4827 NW 183Rd St
Miami Gardens, FL 33055-2955

Mailing address

4827 NW 183Rd St
Miami Gardens, FL 33055-2955
Phone (305) 622-2622

Other identifiers 1

IdentifierTypeStateIssuer
075055700MedicaidFL

National Provider Directory

National Provider Directory

Locations

4827 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 622-2622

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1831351758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552955",
            "telephone_number": "305-622-2622",
            "fax_number": "305-622-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4827 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552955",
            "telephone_number": "305-622-2622",
            "fax_number": "305-622-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA SOTERAS D.D.S, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "SOTERAS",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "305-622-2622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S, P.A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075055700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.