Laura Sotomayor, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

056048 Issued in NY

Practice address

174 Forest Ave
Locust Valley, NY 11560-2110

Phone

(516) 676-8900

Fax

(516) 676-5300

NPI assigned

Jul 25, 2014

Sex

Female

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1588072227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 FOREST AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602110",
            "telephone_number": "516-676-8900",
            "fax_number": "516-676-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 FOREST AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602110",
            "telephone_number": "516-676-8900",
            "fax_number": "516-676-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMAYOR",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "056048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Scolaro, PA
• Jennifer Selden
• Meghan Shedlick, PT
• Dana Marisa Simons, R.N.
• Cynthia Siu, L.AC.
• Soundside Physical Therapy Homecare, P.C.
• Soundside Physical Therapy P.C.
• Victoria Angela Staiano, OTR/L
• Laura Streiber, DPT
• Gregg Matthew Szerlip, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Locust Valley, NY
• Providers in Locust Valley, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.