Mailene Soyster, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60282 Issued in CA

Practice address

401 Gregory LN Ste 242
Pleasant Hill, CA 94523-2846

Phone

(925) 689-1020

Fax

(315) 454-8650

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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.

• Quincy Gibbs DDS Inc., Pleasant Hill

  • General Practice Dentistry
  • Pleasant Hill, CA
  • NPI 1306716618
  NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1891814760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN STE 242",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232846",
            "telephone_number": "925-689-1020",
            "fax_number": "315-454-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN STE 242",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232846",
            "telephone_number": "925-689-1020",
            "fax_number": "315-454-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOYSTER",
        "first_name": "MAILENE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051231-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "glfdent@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 Gregory Ln Ste 242",
            "city": "Pleasant Hill",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945232846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Leanne Sorace
• Juan Carlos Soria
• Dennis Sosine, DC
• Sophia Sotelo-Osborne, CCS-P
• Basilios Sotiropulos
• Seaair Spear, RN
• Susan Marie Spence, P.T.
• Scott Sproul
• Cody Stapornkul, RN
• Danny Ray Stark Jr.

• General Practice Dentistry in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.