Individual provider Active NPI

Soni Prasad, BDS, MS, FACP, MBA

  • Prosthodontics
  • Chapel Hill, NC
National Provider Identifier
1689909798
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
13530 Issued in NC
Practice address
140 Dental Circle Brauer Hall RM-343
Chapel Hill, NC 27599-3402
Phone
(919) 537-3963
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 13530 NC Primary

Addresses

Primary practice location

140 Dental Circle Brauer Hall RM-343
Chapel Hill, NC 27599-3402

Mailing address

140 Dental Cir
Chapel Hill, NC 27599-5021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 29, 2016 through Jun 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
13530NCMDPharmacist

Interoperability endpoints

  • Direct secure messaging: sprasad1062560@direct.unc.nchie.net

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1689909798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DENTAL CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275995021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DENTAL CIRCLE BRAUER HALL RM-343",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275993402",
            "telephone_number": "919-537-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "SONI",
        "name_prefix": "Dr.",
        "credential": "BDS, MS, FACP, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "13530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.