Individual provider Active NPI

Pooja Soni

  • Dentist
  • Landover, MD
National Provider Identifier
1770066243
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16612 Issued in MD
Practice address
7023 Martin Luther King Jr Hwy
Landover, MD 20785-4016
Phone
(301) 882-8888
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16612 MD Primary
General Practice Dentistry 1223G0001X 16612 MD

Addresses

Primary practice location

7023 Martin Luther King Jr Hwy
Landover, MD 20785-4016

Mailing address

10504 Birdie LN
Upper Marlboro, MD 20774-6031
Phone (240) 899-7841

Other practice location 1

3114 Queens Chapel Rd
Hyattsville, MD 20782-3665
Phone (240) 899-7841

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
16612MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Toothfully Yours of Glen Burnie, LLC Current Accepting new patients
Central Maryland Sleep Solutions Dentist Current Accepting new patients
Toothfully Your'S, LLC CurrentSince Jun 11, 2023 Accepting new patients
Healthy Dental of Landover LLC Dentist PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 4

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1770066243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 BIRDIE LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207746031",
            "telephone_number": "240-899-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 MARTIN LUTHER KING JR HWY",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854016",
            "telephone_number": "301-882-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3114 Queens Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207823665",
            "country_code": "US",
            "telephone_number": "240-899-7841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONI",
        "first_name": "POOJA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16612",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.