Active NPI
Michelle Soriano, DDS, MSD
- Endodontics
- Bothell, WA
National Provider Identifier
1558810663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE60882512
- Practice address
- 19110 Bothell Way NE Ste 101
Bothell, WA 98011-2970 - Phone
- (425) 482-9211
- NPI assigned
- Sep 30, 2016
- Last updated
- Jul 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DE60882512 | WA | Primary |
Addresses
Primary practice location
19110 Bothell Way NE Ste 101
Bothell, WA 98011-2970
Mailing address
19110 Bothell Way NE Ste 101
Bothell, WA 98011-2970
Phone (425) 482-9211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60882512 | WA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothell Endodontics | Endodontics | Current | Accepting new patients |
| Texas Endodontic Center,PLLC | Endodontics | Past | Accepting new patients |
Locations
19110 Bothell Way NE
Ste 101
Bothell, WA 98011
Phone (425) 482-9211
Organizations & group practices 2
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.
-
- Endodontics
- Bothell, WA
- NPI 1083433296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627689600000",
"number": "1558810663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19110 BOTHELL WAY NE STE 101",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980112970",
"telephone_number": "425-482-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19110 BOTHELL WAY NE STE 101",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980112970",
"telephone_number": "425-482-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIANO",
"first_name": "MICHELLE",
"credential": "DDS, MSD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-30",
"last_updated": "2021-07-31",
"certification_date": "2021-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE60882512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.