Marisol Soto Jimenez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6458444 Issued in ZZ

Practice address

4731 E Udall LN
San Luis, AZ 85336

Phone

(928) 509-1279

Fax

(928) 361-2599

NPI assigned

Feb 21, 2024

Last updated

Mar 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Xpquick Claims Inc

  • Dental Clinic/Center
  • San Ysidro, CA
  • NPI 1285039818
  NPD (past)

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1841056587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16230",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "853496963",
            "telephone_number": "928-509-1279",
            "fax_number": "928-361-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 E UDALL LN",
            "city": "SAN LUIS",
            "state": "AZ",
            "postal_code": "85336",
            "telephone_number": "928-509-1279",
            "fax_number": "928-361-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "AV. JUAREZ Y CALLE 9 #809",
            "address_purpose": "LOCATION",
            "city": "SAN LUIS RIO COLORADO",
            "state": "SONORA",
            "postal_code": "83449",
            "country_code": "MX",
            "country_name": "Mexico",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "SOTO JIMENEZ",
        "first_name": "MARISOL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ZZ",
            "license": "6458444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Teresa Pharmacy LLC (Santa Teresa Pharmacy)
• Mandana Semnani, MD
• Shruti Sharma, MD
• Martin Sobieraj, DMD
• Sonortica Dent All Group, LLC
• South County Diagnostic Services, LLC
• South County Diagnostic Services, LLC
• South County Diagnostic Services, LLC
• Doyle Stanley II, RN
• Sunset Community Health Center

• General Practice Dentistry in San Luis, AZ
• Providers in San Luis, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.