Individual provider Active NPI

Ivanna Soto, DDS

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1295629640
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.027951 Issued in OH
Practice address
4627 Aicholtz Rd
Cincinnati, OH 45244-1447
Phone
(513) 753-2820
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 17

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250731001052 OH Practitioner - Dentist 8729596952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.027951OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio Inc Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio Inc Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients

Locations

1341 Clough Pike
#150
Batavia, OH 45103
Phone (513) 732-5082

2055 Hospital Dr
Ste 130
Batavia, OH 45103
Phone (513) 732-0700

4627 Aicholtz Rd
Cincinnati, OH 45244
Phone (513) 753-2820

424 Wards Corner Rd
Ste 200
Loveland, OH 45140
Phone (513) 707-4041

455 Wards Corner Rd
Ste 200
Loveland, OH 45140
Phone (513) 688-8580

150 Health Partners Cir
Mount Orab, OH 45154
Phone (937) 444-2514

6131 Campus Ln
Mt Washington, OH 45230
Phone (513) 732-5088

218 Stern Rd
Seaman, OH 45679
Phone (937) 378-3633

Interoperability endpoints

  • Direct secure messaging: ivanna.sotodds.p1@direct.hsohio.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.027951 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

4627 Aicholtz Rd
Cincinnati, OH 45244-1447

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 707-4041

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0131576MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2025.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1295629640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-707-4041",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 AICHOLTZ RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441447",
            "telephone_number": "513-753-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "IVANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.