Individual provider Active NPI

Emmanuel Courchia

  • Dentist
  • Fort Lauderdale, FL
National Provider Identifier
1841936242
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27787 Issued in FL
Practice address
1209 W Broward Blvd # 33312
Fort Lauderdale, FL 33312-1640
Phone
(954) 763-3358
NPI assigned
May 9, 2022
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN27787 FL Primary

Addresses

Primary practice location

1209 W Broward Blvd # 33312
Fort Lauderdale, FL 33312-1640

Mailing address

9381 E Bay Harbor Dr Apt 303S
Bay Harbor Islands, FL 33154-3913
Phone (347) 419-1687

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
DN27787FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Barnard DDS PA Dentist PastSince Mar 24, 2024 Accepting new patients
Dental Options, P.a. Dentist PastSince Dec 1, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1841936242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9381 E BAY HARBOR DR APT 303S",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331543913",
            "telephone_number": "347-419-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W BROWARD BLVD # 33312",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121640",
            "telephone_number": "954-763-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURCHIA",
        "first_name": "EMMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.