Jose Alfredo Soto, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS104515 Issued in CA

Practice address

2383 W 24TH St
Yuma, AZ 85364-7709

Phone

(602) 872-3709

NPI assigned

Mar 9, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jose Alfredo Soto-Rodriguez Former name

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 and National Provider Directory roles.

• East 22ND Street Dental, P.C.

  dba Dorsett Dentistry

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1396832994
  NPD (past)
• Tremont Road Dental Super, P.C.

  dba Pine Dentistry

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1366539959
  NPD (past)

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1861885311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6509",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662522",
            "telephone_number": "602-872-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647709",
            "telephone_number": "602-872-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "JOSE",
        "middle_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009444",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS104515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "SOTO-RODRIGUEZ",
            "middle_name": "ALFREDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sonora Quest Laboratories LLC
• Sonoran Desert Oncology PC
• Sonoran Research Group, LLC (Transitional Living Center Recovery)
• Sorensen & Thompson Dental LLC (Yuma Endodontics)
• Howard J Sorensen II, D.D.S, MS
• South Frontage Road Dental PLLC (Gila Ridge Dental -Foothills)
• Southwest Counseling Services LLC
• Southwest Diabetes Center PLLC
• Southwest Diabetes Thyroid and Endocrine Care
• Southwest Emergency Physicians, PLLC

• General Practice Dentistry in Yuma, AZ
• Providers in Yuma, 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 Nov 15, 2019; 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.