Arezoo Sotoodeh, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

204093 Issued in CO

Practice address

5050 N Academy Blvd
Colorado Springs, CO 80918-4124

Phone

(719) 260-6093

Fax

(719) 260-2339

NPI assigned

Jul 31, 2019

Last updated

Jul 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sotoodeh Dental, PLLC

  • Dental Clinic/Center
  • Littleton, CO
  • NPI 1972320653
  NPD Authorized official
• Perfect Teeth - Union & Academy P.C.

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1528189925
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1245884832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E ESPANOLA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077647",
            "telephone_number": "604-773-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184124",
            "telephone_number": "719-260-6093",
            "fax_number": "719-260-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOODEH",
        "first_name": "AREZOO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "204093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S  LICENSE",
            "identifier": "0367431",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.perfectteeth.com",
            "affiliation": "N",
            "endpointDescription": "practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5050 N Academy Blvd",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809184124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nayeli Soto
• Nicole Soto, CNIM
• Osvaldo Soto
• Tammy Soto
• Ysabel Soto, LPN
• Elizabeth Souba, MA, MS, LPC, LMHC
• Christopher Allen Souder, MD
• Mariah M Souder, NP
• Soul Attention, LLC
• Soul Mender, LLC

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.