Individual provider Active NPI

Soteji T Adeuti, DMD

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1811558653
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35424 Issued in TX
Practice address
22618 Aldine Westfield Rd
Spring, TX 77373-6569
Phone
(936) 273-9423
NPI assigned
Jun 24, 2019
Last updated
Dec 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35424 TX Primary

Addresses

Primary practice location

22618 Aldine Westfield Rd
Spring, TX 77373-6569

Mailing address

14320 FM 2920 Rd Ste E
Tomball, TX 77377-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240327002814 TX Order and Referring Only - DentistPractitioner - Dentist 1355788233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adura Dentistry PLLC Current Accepting new patients

Locations

14320 FM 2920 Rd
Ste E
Tomball, TX 77377

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640304000000",
    "number": "1811558653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14320 FM 2920 RD STE E",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22618 ALDINE WESTFIELD RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773736569",
            "telephone_number": "936-273-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEUTI",
        "first_name": "SOTEJI",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-12-24",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.