John-Cleeve Andrew Soter, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00202996 Issued in CO

Practice address

Renew 1-Day Dentures
8770 N Union Blvd
Colorado Springs, CO 80920

Phone

(719) 597-8484

Fax

(719) 597-2031

NPI assigned

Jun 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Littleton Modern Dentistry and Orthodontics, LLP

  • General Practice Dentistry
  • Littleton, CO
  • NPI 1861778110
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1497168223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11858 E FAIR AVE",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115716",
            "telephone_number": "617-319-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RENEW 1-DAY DENTURES",
            "address_2": "8770 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-597-8484",
            "fax_number": "719-597-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTER",
        "first_name": "JOHN-CLEEVE",
        "middle_name": "ANDREW",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "DEN00202996",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylie Sory
• Erik Sosa
• Quynh Dung Vo Sosdian, DDS
• Stephen G Sosdian, DDS
• Kristen Sosebee
• Daniel Fletcher Soteres, MD
• Sothere Co
• Carmen Soto
• Janet L Soto, MA
• Melissa Soto

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.

Verify at the official NPI Registry.