Organization Active NPI

Soult & Swanson, PLLC

  • Dentist
  • Aurora, CO
National Provider Identifier
1386301422
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Mar 24, 2025

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • Sanders & Loe, DDS, PC Former legal business name
  • Sanders & Soult, PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250417000342 CO DME Supplier - Oral Surgery - Dentist 3274925888 Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.