Active NPI
Zachary Nicholas Soiya, D.D.S.
- Dentist
- Saint Louis, MO
National Provider Identifier
1821135823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2019038311
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019038311 | MO | MD | Dentist |
| 19-17894 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PLD of South City PC | General Practice | Current | 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.
-
- General Practice Dentistry
- Saint Louis, MO
- NPI 1871479758
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.