Active NPI
Douglas Allen Sootin, D.M.D.
- General Practice Dentistry
- White Plains, NY
National Provider Identifier
1730178948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28883
- Practice address
- 19 Old Mamaroneck Rd
Suite a
White Plains, NY 10605-1748 - Phone
- (914) 946-4455
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28883 | NY | Primary |
Addresses
Primary practice location
19 Old Mamaroneck Rd
Suite a
White Plains, NY 10605-1748
Mailing address
136 S Irving St
Ridgewood, NJ 07450-4548
Phone (201) 670-9286
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28883 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730178948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 S IRVING ST",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504548",
"telephone_number": "201-670-9286",
"fax_number": "201-612-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 OLD MAMARONECK RD",
"address_2": "SUITE A",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051748",
"telephone_number": "914-946-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOTIN",
"first_name": "DOUGLAS",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "28883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.