Marvina E De Sousa, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19465 Issued in FL

Practice address

10271 Pines Blvd
Pembroke Pines, FL 33026-6008

Phone

(954) 447-0400

NPI assigned

Sep 14, 2011

Last updated

Sep 14, 2011By the provider in NPPES

Sex

Female

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

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• HealthSun Health Plans Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County Dental Corp.

  dba Dental American Group

  • General Practice Dentistry
  • Pembroke Pines, FL
  • NPI 1518062777
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1841572963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 NW 177TH ST APT 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "330156254",
            "telephone_number": "305-333-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10271 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266008",
            "telephone_number": "954-447-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOUSA",
        "first_name": "MARVINA",
        "middle_name": "E",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "19465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva De Lima-Santiago, APRN
• Pablo De Los Santos, M.D.
• Leonardo Valentim De Oliveira
• Dione De Pooter, LMFT, MCAP
• Ileana Maria De Rojas Garcia
• Giovana V De Souza
• Melissa Ferreira Faria De Souza, AP
• Giuseppina Carmela De Stefano
• Giselle Debs, M.D.
• Dedicated Caregivers, LLC

• General Practice Dentistry in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.

Verify at the official NPI Registry.