Individual provider Active NPI

Daniel Marc Sosin, MD

  • Public Health & General Preventive Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1316589799
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MD2019-0456 Issued in NM
Practice address
1190 S Saint Francis Dr # N-1053
Santa Fe, NM 87505-4173
Phone
(505) 827-2271
Fax
(505) 827-0013
NPI assigned
Oct 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2019-0456 NM
Public Health & General Preventive Medicine Physician 2083P0901X MD2019-0456 NM Primary

Addresses

Primary practice location

1190 S Saint Francis Dr # N-1053
Santa Fe, NM 87505-4173

Mailing address

1454 Miracerros Loop S
Santa Fe, NM 87505-4024
Phone (678) 570-8574

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2019-0456NMMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1316589799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MIRACERROS LOOP S",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054024",
            "telephone_number": "678-570-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S SAINT FRANCIS DR # N-1053",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054173",
            "telephone_number": "505-827-2271",
            "fax_number": "505-827-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSIN",
        "first_name": "DANIEL",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2019-0456",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NM",
            "license": "MD2019-0456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.