Jin Yan Mai-Soto, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

25203 Issued in FL

Practice address

999 Summer St Ste 300
Stamford, CT 06905-5513

Phone

(203) 588-9059

Fax

(203) 678-8688

NPI assigned

Jul 14, 2020

Sex

Female

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 and National Provider Directory roles.

• Jin Mai-Soto DDS, PLLC

  • Dental Clinic/Center
  • Stamford, CT
  • NPI 1447929583
  NPD Authorized official
• Dentist on Seneca PLLC

  • Dental Clinic/Center
  • Buffalo, NY
  • NPI 1982465142
  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1831707959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST STE 300",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055513",
            "telephone_number": "203-588-9059",
            "fax_number": "203-678-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST STE 300",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055513",
            "telephone_number": "203-588-9059",
            "fax_number": "203-678-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI-SOTO",
        "first_name": "JIN",
        "middle_name": "YAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Magner, MS, CGC
• Nancy Jane Magnetti, LMFT
• Elizabeth Safiah Maharaj, LPCA
• Theresa R Mahon, MD
• Allyson Mahoney, M.S., CCC/SLP
• Annette Marie Maiberger, LCSW
• Main Street Pharmacy 4 LLC
• Robert L Maiolo, O.D.
• Jonathan M Mak
• Jennifer Landesman Makadok, LCSW

• Dentist in Stamford, CT
• Providers in Stamford, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.