Active NPI
Elizabeth Nochimson
- Dentist
- Deltona, FL
National Provider Identifier
1871874818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN19458
- Practice address
- 777 Deltona Blvd Ste 9
Deltona, FL 32725-7174 - Phone
- (386) 574-4407
- NPI assigned
- Sep 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN19458 | FL | Primary |
Addresses
Primary practice location
777 Deltona Blvd Ste 9
Deltona, FL 32725-7174
Mailing address
3005 Falling Acorn Cir
Lake Mary, FL 32746-4743
Phone (954) 560-3792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004300000 | Medicaid | FL |
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 |
|---|---|---|---|
| DN19458 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1871874818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 FALLING ACORN CIR",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464743",
"telephone_number": "954-560-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 DELTONA BLVD STE 9",
"city": "DELTONA",
"state": "FL",
"postal_code": "327257174",
"telephone_number": "386-574-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOCHIMSON",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-05",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN19458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004300000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.