Individual provider Active NPI

Roy Dagamat Soriano, DDS

  • Dentist
  • Victorville, CA
National Provider Identifier
1619182037
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54212 Issued in CA
Practice address
14084 Amargosa Rd
Suite D270
Victorville, CA 92392-2486
Phone
(760) 596-4253
Fax
(760) 596-4256
NPI assigned
May 10, 2007
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54212 CA Primary

Addresses

Primary practice location

14084 Amargosa Rd
Suite D270
Victorville, CA 92392-2486

Mailing address

16652 Desert Lily St
Victorville, CA 92394-1426

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

LicenseStateTypeSpecialty
54212CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Save Dental, Practice of Roy D. Soriano, D.D.S., Inc Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rsoriano@direct.westerndental.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1619182037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16652 DESERT LILY ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14084 AMARGOSA RD",
            "address_2": "SUITE D270",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922486",
            "telephone_number": "760-596-4253",
            "fax_number": "760-596-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "ROY",
        "middle_name": "DAGAMAT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.