Individual provider Active NPI

Amara Carolina Abreu Serrano, DDS, MSD

  • Prosthodontics
  • Chapel Hill, NC
National Provider Identifier
1972517795
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
13074 Issued in NC
Practice address
143 Brauer Hall DFP Administration
Chapel Hill, NC 27599-1001
Phone
(919) 537-3437
NPI assigned
Jul 28, 2006
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 27659 TX
Prosthodontics 1223P0700X DNF000330 GA
Prosthodontics 1223P0700X 13074 NC Primary

Addresses

Primary practice location

143 Brauer Hall DFP Administration
Chapel Hill, NC 27599-1001

Mailing address

108 Longwood Dr
Chapel Hill, NC 27514-9579
Phone (919) 537-3954

Other identifiers 2

IdentifierTypeStateIssuer
1418385OtherGAUNITED CONCORDIA
971787592AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160212001268 GA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2668776501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27659TXMDProsthodontist
13074NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Au Dental Associates PastSince Aug 1, 1996 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1972517795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LONGWOOD DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275149579",
            "telephone_number": "919-537-3954",
            "fax_number": "919-537-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 BRAUER HALL DFP ADMINISTRATION",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275991001",
            "telephone_number": "919-537-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU SERRANO",
        "first_name": "AMARA",
        "middle_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "27659",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "DNF000330",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "13074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1418385",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "971787592A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.