Active NPI
Ion Sochirca
- General Practice Dentistry
- Racine, WI
National Provider Identifier
1891473997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 600164715
- Practice address
- 5201 Washington Ave Suite a
Racine, WI 53406 - Phone
- (888) 988-4066
- NPI assigned
- Jul 7, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 600164715 | WI | Primary |
Addresses
Primary practice location
5201 Washington Ave Suite a
Racine, WI 53406
Mailing address
1832 W Wysteria Lane, Unit 401
Oak Creek, WI 53154-4020
Phone (317) 441-3477
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 |
|---|---|---|---|
| 600164715 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familia Dental Racine LLC | General Practice | Current | Accepting new patients |
Locations
5201 Washington Ave
Ste A
Mount Pleasant, WI 53406
Phone (262) 634-0441
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1891473997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 W WYSTERIA LANE, UNIT 401",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531544020",
"telephone_number": "317-441-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 WASHINGTON AVE SUITE A",
"city": "RACINE",
"state": "WI",
"postal_code": "53406",
"telephone_number": "888-988-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCHIRCA",
"first_name": "ION",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-07",
"last_updated": "2024-08-15",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "600164715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.