Individual provider Active NPI

Steven Sober, D.M.D.

  • General Practice Dentistry
  • Winter Garden, FL
National Provider Identifier
1952321788
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 10165 Issued in FL
Practice address
13330 W Colonial Dr
Suite 120
Winter Garden, FL 34787-3915
Phone
(407) 877-6666
Fax
(407) 877-6666
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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 DN 10165 FL Primary

Addresses

Primary practice location

13330 W Colonial Dr
Suite 120
Winter Garden, FL 34787-3915

Mailing address

13330 W Colonial Dr
Suite 120
Winter Garden, FL 34787-3915
Phone (407) 877-6666

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

LicenseStateTypeSpecialty
DN 10165FLMDGeneral Practice Dentistry
10165FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1952321788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 W COLONIAL DR",
            "address_2": "SUITE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873915",
            "telephone_number": "407-877-6666",
            "fax_number": "407-877-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 W COLONIAL DR",
            "address_2": "SUITE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873915",
            "telephone_number": "407-877-6666",
            "fax_number": "407-877-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBER",
        "first_name": "STEVEN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 10165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.