Danny Jose Soares

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

69259 Issued in GA

Practice address

4553 N Shallowford Rd
Suite 20B
Atlanta, GA 30338-6408

Phone

(770) 457-6303

NPI assigned

May 22, 2008

Last updated

Jul 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Image Cosmetic & Laser Surgery

  • Specialist
  • Atlanta, GA
  • NPI 1457563447
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1952568370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 AZALEA GARDEN DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387909",
            "telephone_number": "203-518-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 N SHALLOWFORD RD",
            "address_2": "SUITE 20B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386408",
            "telephone_number": "770-457-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "DANNY",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "GA",
            "license": "69259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tameka Snyder
• Tamela Miles Snyder, MD
• Joanne So, DO
• Juliana Soares Cavalcante Iizuka, NP
• Ann Marie Soares
• Soaring Eagle Children's Group
• Soaring Eagles Children's Group, Inc
• Connie Soave, MS, NCC
• Rowena Gail Sobczyk, MD
• Michael John Sobel Misieczko

• Facial Plastic Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Facial Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.