David J.W. Sorokolit, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16745 Issued in TX

Practice address

1050 5TH Ave
Ste: G
Fort Worth, TX 76104-2919

Phone

(817) 332-9700

Fax

(817) 332-9768

NPI assigned

Mar 31, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David J.W. Sorokolit DDS

  • Dentist
  • Fort Worth, TX
  • NPI 1447414362
  NPD (past) Authorized official

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215998778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 5TH AVE",
            "address_2": "STE: G",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042919",
            "telephone_number": "817-332-9700",
            "fax_number": "817-332-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 5TH AVE",
            "address_2": "STE: G",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042919",
            "telephone_number": "817-332-9700",
            "fax_number": "817-332-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROKOLIT",
        "first_name": "DAVID",
        "middle_name": "J.W.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Anthony Macayan Soriano, OD
• Jenine Sorisantos, FNP-C
• Sorokolit Podiatry PLLC
• Cara Sorokolit, DMD
• Christopher Sorokolit, D.D.S., M.S.
• Michael T. Sorokolit, DPM
• Robert Matthew Sorokolit, D.D.S.
• Noha Nabil Nasif Soror, MD
• Kimberly Sotello
• Christian Sotelo

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.