Individual provider Active NPI

Adrian E Soto Lopez, D.D.S

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1639528011
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11531 Issued in NC
Practice address
6132 Carolina Beach Rd Ste 6
Wilmington, NC 28412-2759
Phone
(910) 392-9101
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11531 NC Primary

Addresses

Primary practice location

6132 Carolina Beach Rd Ste 6
Wilmington, NC 28412-2759

Mailing address

6132 Carolina Beach Rd Ste 6
Wilmington, NC 28412-2759
Phone (910) 392-9101

Other names 1

  • Dr. Adrian E Soto Other name

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
11531NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1639528011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 CAROLINA BEACH RD STE 6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122759",
            "telephone_number": "910-392-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 CAROLINA BEACH RD STE 6",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122759",
            "telephone_number": "910-392-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO LOPEZ",
        "first_name": "ADRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIAN",
            "last_name": "SOTO",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.