Active NPI
Jacob Soto, RBT
- Other Technician
- New Braunfels, TX
National Provider Identifier
1578029765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- RBT-18-64304
- Practice address
- 475 Oxford Drive
New Braunfels, TX 78130 - Phone
- (940) 300-7606
- NPI assigned
- Feb 13, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | RBT-18-64304 | TX | Primary |
Addresses
Primary practice location
475 Oxford Drive
New Braunfels, TX 78130
Mailing address
16800 Dallas Pkwy Ste 200
Dallas, TX 75248-1961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-18-64304 | Other | TX | BACB |
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 |
|---|---|---|---|
| RBT-18-64304 | TX | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1578029765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16800 DALLAS PKWY STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 OXFORD DRIVE",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78130",
"telephone_number": "940-300-7606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "JACOB",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "RBT-18-64304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-18-64304",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.