Active NPI
Soult & Swanson, PLLC
- Dentist
- Aurora, CO
National Provider Identifier
1386301422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SOULT & SWANSON, PLLC
- Practice address
- 1444 S Potomac St Ste 100
Aurora, CO 80012-4516 - Phone
- (303) 337-2794
- NPI assigned
- Nov 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- McKinley Soult, DMD
- Title
- Owner/Managing Member
- Phone
- (614) 477-8219
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
1444 S Potomac St Ste 100
Aurora, CO 80012-4516
Mailing address
1444 S Potomac St Ste 100
Aurora, CO 80012-4516
Phone (303) 337-2794
Other names 3
- Soult & Swanson Family Dentistry and Implant Center
- Sanders & Loe, DDS, PC
- Sanders & Soult, PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250417000342 | CO | DME Supplier - Oral Surgery - Dentist | 3274925888 | Practice locations: Aurora, CO |
National Provider Directory
National Provider DirectoryLocations
3100 S Parker Rd
Ste 103
Aurora, CO 80014
Phone (303) 337-2794
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Aurora, CO
- NPI 1063104412
-
- General Practice Dentistry
- Aurora, CO
- NPI 1003943911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1386301422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 S POTOMAC ST STE 100",
"city": "AURORA",
"state": "CO",
"postal_code": "800124516",
"telephone_number": "303-337-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 S POTOMAC ST STE 100",
"city": "AURORA",
"state": "CO",
"postal_code": "800124516",
"telephone_number": "303-337-2794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOULT & SWANSON, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-23",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "SOULT",
"authorized_official_first_name": "MCKINLEY",
"authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
"authorized_official_telephone_number": "614-477-8219",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Soult & Swanson Family Dentistry and Implant Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sanders & Loe, DDS, PC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Sanders & Soult, PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.