Edwin Soto, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Combat Logistics Regiment 27
2D Marine Logistics Group, PSC Box 20125
Camp Lejeune, NC 28542-0125

Phone

(910) 450-6673

NPI assigned

Aug 1, 2006

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

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508873092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 PINE VALLEY RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285461647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMBAT LOGISTICS REGIMENT 27",
            "address_2": "2D MARINE LOGISTICS GROUP, PSC BOX 20125",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420125",
            "telephone_number": "910-450-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Soloway, ATC
• Wesley Kyuhan Son, DMD
• Ryan Sonnabend, DDS
• Timothy Cliffton Sorrells, M.D.
• Alex Sosa III
• Barbra Bryce Speer, D.O.
• Casandra M Spreen, M.D.
• Elizabeth Louise Spresser, LMFT
• Timothy Kyle Stacks, CRNA
• Kristie Alexandra Staine, LCSW

• Independent Duty Corpsman in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.