Organization Active NPI

Jin Mai-Soto DDS, PLLC

  • Dental Clinic/Center
  • Stamford, CT
National Provider Identifier
1447929583
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JIN MAI-SOTO DDS, PLLC
Practice address
999 Summer St Ste 300
Stamford, CT 06905-5513
Phone
(347) 829-4981
NPI assigned
Sep 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Authorized official

Name
Jin Mai-Soto, DDSNPI 1831707959
Title
Managing Member
Phone
(347) 829-4981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

999 Summer St Ste 300
Stamford, CT 06905-5513

Mailing address

1313 Balcom Ave
Bronx, NY 10461-5801
Phone (347) 829-4981

Other names 1

  • Dentalogix Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1447929583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BALCOM AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615801",
            "telephone_number": "347-829-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST STE 300",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055513",
            "telephone_number": "347-829-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN MAI-SOTO DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "MAI-SOTO",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "347-829-4981",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentalogix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.