Organization Active NPI

Soni Orthopaedic Clinic Inc

  • Orthopaedic Surgery Physician
  • Canton, OH
National Provider Identifier
1255478079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35. 073683 Issued in OH
Legal business name
SONI ORTHOPAEDIC CLINIC INC
Practice address
1900 Fulton Rd NW
Canton, OH 44709-3526
Phone
(330) 454-4444
Fax
(330) 454-1488
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Prasanna L Soni, M.D.
Title
President
Phone
(330) 454-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 35. 073683 OH Primary

Addresses

Primary practice location

1900 Fulton Rd NW
Canton, OH 44709-3526

Mailing address

1900 Fulton Rd NW
Canton, OH 44709-3526
Phone (330) 454-4444

Other identifiers 1

IdentifierTypeStateIssuer
0329022MedicaidOH

National Provider Directory

National Provider Directory

Locations

1900 Fulton Rd NW
Canton, OH 44709
Phone (330) 454-4444

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255478079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 FULTON RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093526",
            "telephone_number": "330-454-4444",
            "fax_number": "330-454-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 FULTON RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093526",
            "telephone_number": "330-454-4444",
            "fax_number": "330-454-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONI ORTHOPAEDIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "PRASANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-454-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.  073683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0329022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.