Individual provider Active NPI

Nadine Soga, DMD

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1417135641
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4889 Issued in DC
Practice address
1234 19TH Street NW
Suite 710
Washington, DC 20036-2441
Phone
(202) 783-3450
Fax
(202) 785-7337
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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 4889 DC Primary

Addresses

Primary practice location

1234 19TH Street NW
Suite 710
Washington, DC 20036-2441

Mailing address

1234 19TH Street NW
Suite 710
Washington, DC 20036-2441
Phone (202) 783-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160115000746 DC Order and Referring Only - DentistPractitioner - Dentist 6507169083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4889DCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nadine Soga DMD General Practice 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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1417135641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 19TH STREET NW",
            "address_2": "SUITE 710",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362441",
            "telephone_number": "202-783-3450",
            "fax_number": "202-785-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 19TH STREET NW",
            "address_2": "SUITE 710",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362441",
            "telephone_number": "202-783-3450",
            "fax_number": "202-785-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOGA",
        "first_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "4889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.