Brock J Desoto, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD5697 Issued in NM

Practice address

5925 Wyoming Blvd NE Ste a
Albuquerque, NM 87109-3841

Phone

(505) 269-1818

NPI assigned

Nov 21, 2022

Last updated

Sep 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Desoto Dentistry, LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1417828880
  NPD Authorized official
• Bear Canyon Family Dentistry LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1265860936
  NPD (past)
• Dr Mason DMD Inc

  • Dental Clinic/Center
  • Albuquerque, NM
  • NPI 1629240486
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1801505607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 CORTADERIA ST NE APT 4028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871118012",
            "telephone_number": "505-269-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 WYOMING BLVD NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093841",
            "telephone_number": "505-269-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOTO",
        "first_name": "BROCK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Designed Mobility LTD
• Chastity Desimone
• Kelli Desmond, CNP
• Nadine Desormeau, L.AC.
• Desoto Dentistry, LLC
• Barbara Despain, SLP
• Michele Dessalet, MS PT
• Dessie Montoya-Soto Inc
• Shimaa Dessouky, MS
• Mikiyas Teshome Desta, MD

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.