Julio Sotillo Rodriguez, D.D.S., PH.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D13124 Issued in MN

Practice address

701 25TH Ave S
Suite 400
Minneapolis, MN 55454-1513

Phone

(612) 625-3249

NPI assigned

Apr 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1013275049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 DELAWARE ST SE",
            "address_2": "MOOS TOWER 6-650",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 25TH AVE S",
            "address_2": "SUITE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541513",
            "telephone_number": "612-625-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTILLO RODRIGUEZ",
        "first_name": "JULIO",
        "credential": "D.D.S., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D13124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sorenson, GNP-BC
• Richard Alan Sorenson, D.D.S.
• Lindsay A Sorge, PHARMD
• Maggie Sarah Sortedahl-Lopac, PT, DPT
• Sos Transportation LLC
• Kali R Soto
• Ayman Soubra, M.D.
• Steven S Souchtchenko, DO
• Mary Souder
• Chase Robert Soukup, MD

• Pediatric Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.