Active NPI
Steven Sober, D.M.D.
- General Practice Dentistry
- Winter Garden, FL
National Provider Identifier
1952321788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 10165
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN 10165 | FL | MD | General Practice Dentistry |
| 10165 | FL | MD | Occupational 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.