Individual provider Active NPI

Zachary Nicholas Soiya, D.D.S.

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1821135823
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2019038311 Issued in MO
Practice address
3708 Jennings Station Rd
Saint Louis, MO 63121-3500
Phone
(314) 382-2000
Fax
(314) 382-2411
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19-17894 IL
Dentist 122300000X 2019038311 MO Primary

Addresses

Primary practice location

3708 Jennings Station Rd
Saint Louis, MO 63121-3500

Mailing address

2515 Captiva Dr Apt 10
Saint Louis, MO 63125-5616
Phone (708) 337-6473

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
2019038311MOMDDentist
19-17894ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
PLD of South City PC General Practice CurrentSince Aug 17, 2025 Accepting new patients

Locations

3708 Jennings Station Rd
Saint Louis, MO 63121
Phone (314) 380-9600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1821135823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CAPTIVA DR APT 10",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631255616",
            "telephone_number": "708-337-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 JENNINGS STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631213500",
            "telephone_number": "314-382-2000",
            "fax_number": "314-382-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOIYA",
        "first_name": "ZACHARY",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-17894",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2019038311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.