Active NPI
Daniel Hyeongjin Soh, DDS
- General Practice Dentistry
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2022026228
- Practice address
- 130 W Kingsbridge Rd
Bronx, NY 10468-3904 - Phone
- (718) 584-9000
- NPI assigned
- Jun 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2022026228 | MO | Primary |
Addresses
Primary practice location
130 W Kingsbridge Rd
Bronx, NY 10468-3904
Mailing address
170 W 225TH St Apt 601
Bronx, NY 10463-5039
Phone (319) 855-2589
Other practice location 1
1468 Madison Ave
New York, NY 10029-6508
Phone (212) 241-0300
Other practice location 2
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022026228 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| Truman Medical Center Incorporated | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| Truman Medical Centers, Inc. | Past | Accepting new patients |
Locations
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1800 Community
#B
Clinton, MO 64735
1101 N Providence Rd
Columbia, MO 65203
Phone (573) 777-8997
2475 Broadway Bluffs Dr
Ste 200
Columbia, MO 65201
Phone (573) 777-9282
303 N Keene St
Ste 202
Columbia, MO 65201
Phone (573) 442-8885
1001 W Worley St
Columbia, MO 65203
Phone (573) 214-2314
2475 Broadway Bluffs Dr
Columbia, MO 65201
Phone (573) 777-9282
200 Portland St
Columbia, MO 65201
Phone (573) 886-4600
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709
1600 N Missouri Ave
Marceline, MO 64658
Phone (660) 376-2038
1517 Union Ave
Ste C
Moberly, MO 65270
Phone (660) 263-4800
307 S Broadway
Salisbury, MO 65281
Phone (660) 388-6446
Organizations & group practices 6
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.
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1144207937
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
- Community/Behavioral Health Agency
- Kansas City, MO
- NPI 1497890495
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kansas City, MO
- NPI 1225773401
-
- Home Health Agency
- Kansas City, MO
- NPI 1487797759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1386375178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 W 225TH ST APT 601",
"city": "BRONX",
"state": "NY",
"postal_code": "104635039",
"telephone_number": "319-855-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W KINGSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104683904",
"telephone_number": "718-584-9000"
}
],
"practiceLocations": [
{
"address_1": "1468 Madison Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296508",
"country_code": "US",
"telephone_number": "212-241-0300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-6885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOH",
"first_name": "DANIEL",
"middle_name": "HYEONGJIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2022026228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.