Sumit Soni

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001295 Issued in WI

Practice address

2640 W College Ave
Appleton, WI 54914-4201

Phone

(920) 442-5715

NPI assigned

Jul 13, 2023

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)

Not enrolled

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1114606597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144201",
            "telephone_number": "920-442-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3046 Fish Hatchery Rd",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "WI",
            "postal_code": "537133125",
            "country_code": "US",
            "telephone_number": "888-866-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONI",
        "first_name": "SUMIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Charity Sommerfeldt, MD
• Somnos, SC
• Pamela J Sondalle, COTA
• Guoqing Song, PA-C
• Panh Nha Song, LPC
• Jennifer M Sonnentag
• Samantha J Sonnentag
• Melissa Sorcic, SAC-IT
• Carey Lynn Sorenson, PHD
• Philip D Sorenson, PT

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.