Individual provider Active NPI

Ravi Soni, DMD

  • Dentist
  • Bonita Springs, FL
National Provider Identifier
1831574862
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21429 Issued in FL
Practice address
26831 S Tamiami TRL Unit 48
Bonita Springs, FL 34134-7828
Phone
(239) 948-3200
NPI assigned
Jul 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21429 FL Primary

Addresses

Primary practice location

26831 S Tamiami TRL Unit 48
Bonita Springs, FL 34134-7828

Mailing address

26831 S Tamiami TRL Unit 48
Bonita Springs, FL 34134-7828
Phone (239) 948-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160121002235 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9234432436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21429FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1831574862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26831 S TAMIAMI TRL UNIT 48",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347828",
            "telephone_number": "239-948-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26831 S TAMIAMI TRL UNIT 48",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347828",
            "telephone_number": "239-948-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.