Individual provider Active NPI

Heidi R Sottek, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Durango, CO
National Provider Identifier
1376524652
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN.00203397 Issued in CO
Practice address
1135 S Camino del Rio Unit 220
Durango, CO 81303-6831
Phone
(970) 247-0202
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018629 MI
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 9385 TN
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DEN.00203397 CO Primary

Addresses

Primary practice location

1135 S Camino del Rio Unit 220
Durango, CO 81303-6831

Mailing address

426 Haley PL
Pagosa Springs, CO 81147-7207
Phone (615) 830-7886

Other practice location 1

13063 Cortez Blvd
Brooksville, FL 34613-4838
Phone (727) 785-6522

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
2901018629MIMDGeneral Practice Dentistry
DEN.00203397COMDOrthodontics and Dentofacial Orthopedic Dentist
9385TNMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Dental Alliance of Crossville, PLLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 1

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1376524652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 HALEY PL",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811477207",
            "telephone_number": "615-830-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S CAMINO DEL RIO UNIT 220",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036831",
            "telephone_number": "970-247-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13063 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346134838",
            "country_code": "US",
            "telephone_number": "727-785-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTTEK",
        "first_name": "HEIDI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018629",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "9385",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00203397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.