Cristian Sosa-Enamorado, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019036171 Issued in IL

Practice address

2111 E Oakland Ave Ste D
Bloomington, IL 61701-5783

Phone

(309) 663-6564

NPI assigned

Jul 1, 2020

Reactivated

Aug 13, 2025

Last updated

Aug 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solo Dental Group PLLC

  dba Solo Dental

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1689562373
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1467079806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E OAKLAND AVE STE D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015783",
            "telephone_number": "309-663-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E OAKLAND AVE STE D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015783",
            "telephone_number": "309-663-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA-ENAMORADO",
        "first_name": "CRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "deactivation_date": "2025-06-24",
        "reactivation_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019036171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela Sommer, PT
• Ambika Soni, PHARMD
• Kunjal Soni, DC
• Jonathan Sontag
• Matthew R Sooby
• Diana Jane Souder, P.T.
• Shawn Soule, LCPC
• Matthew R Spangler, D.C.
• Jack P Spaniol, MD
• Ashleigh L Sparks

• Dentist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.