Jose E Urresti Soberon, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413819 Issued in VA

Practice address

1470 Pantops Mountain PL
Charlottesville, VA 22911-4600

Phone

(434) 817-1817

Fax

(434) 817-1819

NPI assigned

Jul 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1689872194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 OLD TRAIL DR",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323342",
            "telephone_number": "434-282-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 PANTOPS MOUNTAIN PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114600",
            "telephone_number": "434-817-1817",
            "fax_number": "434-817-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRESTI SOBERON",
        "first_name": "JOSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10258",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dushant Uppal, M.D.
• Bruce A Urban, MD
• Lori A. Urban, PSY.D., HSPP
• Ogaga Nyerovwo Urhie, MD, MS
• Urological Associates, LTD
• Joseph P Usher, LCSW
• Benjamin Usry
• Brian Scott Uthlaut, M.D.
• Uva Community Health Medical Group, LLC (Novant Health UVA Health System Palliative Care)
• Uva Community Health Medical Group, LLC

• General Practice Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.