Individual provider Active NPI

Jose Soto-Mendez, DDS

  • Dentist
  • Farmers Branch, TX
National Provider Identifier
1134598535
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31440 Issued in TX
Practice address
2740 Valwood Pkwy Ste 144
Farmers Branch, TX 75234-3562
Phone
(972) 746-2533
NPI assigned
Sep 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31440 TX Primary

Addresses

Primary practice location

2740 Valwood Pkwy Ste 144
Farmers Branch, TX 75234-3562

Mailing address

370 E 34TH St
Apt 102
Hialeah, FL 33013-2682
Phone (305) 323-9036

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

LicenseStateTypeSpecialty
31440TXMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1134598535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E 34TH ST",
            "address_2": "APT 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132682",
            "telephone_number": "305-323-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 VALWOOD PKWY STE 144",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752343562",
            "telephone_number": "972-746-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO-MENDEZ",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.