Individual provider Active NPI

Thaylon Sotomayor Cuesta, DMD

  • General Practice Dentistry
  • Plantation, FL
National Provider Identifier
1710739859
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN28962 Issued in FL
Practice address
1761 N University Dr
Plantation, FL 33322-4111
Phone
(954) 990-5657
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN28962 FL Primary
General Practice Dentistry 1223G0001X 22DI03031400 NJ

Addresses

Primary practice location

1761 N University Dr
Plantation, FL 33322-4111

Mailing address

523 Westfield Ave FL 1
Elizabeth, NJ 07208-1622
Phone (908) 353-0900

Other practice location 1

523 Westfield Ave Fl 1
Elizabeth, NJ 07208-1622
Phone (908) 353-0900

Other practice location 2

2700 NE 14th Street Cswy Ste 102
Pompano Beach, FL 33062-3561
Phone (786) 403-7920

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
DN28962FLMDGeneral Practice Dentistry
22DI03031400NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Implantation Dentistry General Practice CurrentSince Aug 3, 2025 Accepting new patients
Smile Design and Implants Center by Dr Chao General Practice PastSince Apr 1, 2024 Accepting new patients

Locations

1761 N University Dr
Plantation, FL 33322
Phone (954) 424-5868

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1710739859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 WESTFIELD AVE FL 1",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081622",
            "telephone_number": "908-353-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 N UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224111",
            "telephone_number": "954-990-5657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 Westfield Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072081622",
            "country_code": "US",
            "telephone_number": "908-353-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 NE 14th Street Cswy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330623561",
            "country_code": "US",
            "telephone_number": "786-403-7920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTOMAYOR CUESTA",
        "first_name": "THAYLON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28962",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03031400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; 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.