Individual provider Active NPI

Steven Allen Sutnick, D.M.D.

  • Dentist
  • Aventura, FL
National Provider Identifier
1922447374
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 10650 Issued in FL
Practice address
19913 N. Biscayne Blvd Suite 3
Aventura, FL 33180
Phone
(305) 935-1400
Fax
(954) 757-0978
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 10650 FL Primary

Addresses

Primary practice location

19913 N. Biscayne Blvd Suite 3
Aventura, FL 33180

Mailing address

200 W Cypress Creek Rd
Suite 310
Ft Lauderdale, FL 33309-2174
Phone (954) 617-6995

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 10650FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1922447374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CYPRESS CREEK RD",
            "address_2": "SUITE 310",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092174",
            "telephone_number": "954-617-6995",
            "fax_number": "954-678-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19913 N. BISCAYNE BLVD SUITE 3",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-935-1400",
            "fax_number": "954-757-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTNICK",
        "first_name": "STEVEN",
        "middle_name": "ALLEN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 10650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.