Nicholas Robert Sotak, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60475231 Issued in WA

Practice address

9900 Lincoln St FL 2
Dentac
Tacoma, WA 98431-0001

Phone

(253) 968-4039

Fax

(253) 968-5919

NPI assigned

Nov 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DentistAlso: Oral Surgery

Education

University of Washington School of Dentistry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Uw School of DentistryGroup PAC ID 3678948478, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uw School of Dentistry

  • Dentist
  • Seattle, WA
  • NPI 1972676971
  Medicare reassignment Care Compare group NPD
• University of Washington

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1326002049
  Medicare reassignment NPD
• University of Washington

  • Community/Retail Pharmacy
  • Seattle, WA
  • NPI 1013950336
  NPD

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1629345558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 LINCOLN ST FL 2",
            "address_2": "DENTAC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-4039",
            "fax_number": "253-968-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 LINCOLN ST FL 2",
            "address_2": "DENTAC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-4039",
            "fax_number": "253-968-5919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St # B221",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-685-2937",
            "fax_number": "206-616-8577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTAK",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60475231",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324368",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D Soronen, MD
• Derick Sosa
• Elizabeth Sosa, PSYD
• Joel Sosa
• Selia Marie Sosa
• Sara Ann Soto-Garcia, RN
• Jennifer I. Soto, MSW
• Jessica Jane Soto
• Josiah Soto, PHARMD
• Soul LLC

• Dentist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.