Active NPI
Larisa Sokolson, DMD
- Dentist
- South Windsor, CT
National Provider Identifier
1043730401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12166
- Practice address
- 15 Morgan Farms Dr
South Windsor, CT 06074-1391 - Phone
- (860) 644-4741
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12166 | CT | Primary |
Addresses
Primary practice location
15 Morgan Farms Dr
South Windsor, CT 06074-1391
Mailing address
2D Gillette CT
Simsbury, CT 06070-3121
Phone (860) 392-9100
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 |
|---|---|---|---|
| 12166 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1043730401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2D GILLETTE CT",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060703121",
"telephone_number": "860-392-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MORGAN FARMS DR",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060741391",
"telephone_number": "860-644-4741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOKOLSON",
"first_name": "LARISA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "12166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.