Michelle Sentosa, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042713 Issued in PA

Practice address

1775 Street Rd
Southampton, PA 18966-4564

Phone

(215) 364-4247

NPI assigned

Mar 27, 2020

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 PA

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

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1891323853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664564",
            "telephone_number": "215-364-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTOSA",
        "first_name": "MICHELLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Schultheis, LPC
• Todd D Schwartz, D.O.
• Susan Angela Sciarratta, LPC
• SDDB Shvarts PLLC
• Herbert Secouler, D.O.
• Serenity Home Care,Inc.
• Sexton Family Chiropractic, LLC
• Grant Joseph Sexton, D.C.
• Jerald Mark Shapiro, D.D.S.
• Leslie M Sharpe, MD

• General Practice Dentistry in Southampton, PA
• Providers in Southampton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.