Individual provider Active NPI

Sonia Santoyo, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1922723360
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7729 Issued in NV
Practice address
110 E Bruner Ave Ste 130
Las Vegas, NV 89183-5700
Phone
(702) 816-5885
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7729 NV Primary

Addresses

Primary practice location

110 E Bruner Ave Ste 130
Las Vegas, NV 89183-5700

Mailing address

7937 Celebreeze CT
Las Vegas, NV 89145-4439
Phone (702) 808-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240924004180 NV Order and Referring Only - DentistPractitioner - Dentist 4789125287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge Jimenez-Marquez, DMD, PLLC General Practice CurrentSince Oct 9, 2022 Accepting new patients
Kim-Vy C Pham DMD PLLC CurrentSince Jun 17, 2024 Accepting new patients

Locations

110 E Bruner Ave
Ste 130
Las Vegas, NV 89183
Phone (702) 798-6684

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1922723360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7937 CELEBREEZE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454439",
            "telephone_number": "702-808-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BRUNER AVE STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835700",
            "telephone_number": "702-816-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOYO",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "7729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.