Individual provider Active NPI

Sumera Chohan, DMD

  • General Practice Dentistry
  • Oviedo, FL
National Provider Identifier
1922592609
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23434 Issued in FL
Practice address
1500 Alafaya TRL Ste 1064
Oviedo, FL 32765-4517
Phone
(407) 977-1600
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23434 FL Primary

Addresses

Primary practice location

1500 Alafaya TRL Ste 1064
Oviedo, FL 32765-4517

Mailing address

5046 Keeneland Cir
Orlando, FL 32819-3144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20190311000697 FL Order and Referring Only - DentistPractitioner - Dentist 9537408539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1922592609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 KEENELAND CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ALAFAYA TRL STE 1064",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654517",
            "telephone_number": "407-977-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOHAN",
        "first_name": "SUMERA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.