Individual provider Active NPI

Sumit Soni, DDS

  • General Practice Dentistry
  • Casselberry, FL
National Provider Identifier
1356028088
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28285 Issued in FL
Practice address
2525 Howell Branch Rd Ste 1051
Casselberry, FL 32707-6574
Phone
(321) 972-1882
NPI assigned
Jul 4, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28285 FL Primary

Addresses

Primary practice location

2525 Howell Branch Rd Ste 1051
Casselberry, FL 32707-6574

Mailing address

200 Boardwalk Ave Apt 122
Oviedo, FL 32765-6021
Phone (902) 989-0293

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

State licenses

LicenseStateTypeSpecialty
28285FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Namaste Dental LLC CurrentSince May 12, 2024 Accepting new patients
Comfortable Care Dental Health Professionals General Practice PastSince Jul 9, 2023 Accepting new patients

Locations

10169 W Colonial Dr
Ocoee, FL 34761
Phone (321) 323-6790

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1356028088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOARDWALK AVE APT 122",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656021",
            "telephone_number": "902-989-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HOWELL BRANCH RD STE 1051",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076574",
            "telephone_number": "321-972-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "SUMIT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "28285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.