Active NPI
Aristeo Hernandez Soto, DC
- Chiropractor
- Casa Grande, AZ
National Provider Identifier
1174607642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4362
- Practice address
- 210 W Florence Blvd
Casa Grande, AZ 85222-3929 - Phone
- (520) 836-3579
- Fax
- (520) 836-7167
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4362 | AZ | Primary |
Addresses
Primary practice location
210 W Florence Blvd
Casa Grande, AZ 85222-3929
Mailing address
210 W Florence Blvd
Casa Grande, AZ 85222-3929
Phone (520) 836-3579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0233300 | Other | BCBS OF AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4362 | AZ | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174607642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W FLORENCE BLVD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852223929",
"telephone_number": "520-836-3579",
"fax_number": "520-836-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W FLORENCE BLVD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "852223929",
"telephone_number": "520-836-3579",
"fax_number": "520-836-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "ARISTEO",
"middle_name": "HERNANDEZ",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "4362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AZ",
"identifier": "0233300",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.