Shaun Soucie, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

10040 Issued in CO

Practice address

753 Maleta LN
201
Castle Rock, CO 80108-7605

Phone

(720) 221-7774

NPI assigned

May 15, 2007

Last updated

Dec 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Castle Rock Endodontics, PLLC

  • Endodontics
  • Castle Rock, CO
  • NPI 1134633563
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1780890608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 MALETA LN",
            "address_2": "201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087605",
            "telephone_number": "720-221-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 MALETA LN",
            "address_2": "201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087605",
            "telephone_number": "720-221-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUCIE",
        "first_name": "SHAUN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027172",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "10040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Filiberto Solis
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• Matthew T Somerville, DPT
• Mary Caroline Sonnier, LPCC
• Teri Rebecca Soto, RN
• Soul Potential Acupuncture and Wellness, LLC
• Vijayapradhaa Soundarrajan
• South Denver Castle Rock Ekg Interpretation Group LLC
• South Denver Gastroenterology, PC
• South Denver Monitoring LLC

• Endodontics in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.