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DR. IVANNA SOTO DDS
NPI 1295629640
Dentist in Cincinnati, OH

Active since June 09, 2025PECOS Enrolled
4627 AICHOLTZ RD, CINCINNATI, OH 45244(513) 753-2820 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2025, Jun 9, 2025 (2 updates tracked since 2025).

About Dr. Ivanna Soto Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVANNA SOTO DDS (NPI 1295629640) is an individual dentist in Cincinnati, Ohio, licensed in Ohio (30.027951) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295629640
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. IVANNA SOTOCredential: DDS
Location Address4627 AICHOLTZ RDCincinnati, OH 45244-1447
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 707-4041 · Fax (513) 576-1020
Phone(513) 753-2820
Sole ProprietorYes
Enumeration DateJune 9, 2025
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1295629640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 30.027951
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4627 AICHOLTZ RD, Cincinnati, OH 45244
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Other Identifiers 1

Medicaid0131576OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivanna Soto Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ivanna Soto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthsource Of Ohio, Inc.
Same address
Primary Care
4627 AICHOLTZ RD
Cincinnati, OH 45244
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
NPI 1780701417 (513) 753-2820

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH CHILDERS
Technician/Technologist (Optician)
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 732-5082
JILLIAN SCHAFFELD D.O.
Pediatrics
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820
MONA CHOUEIRY M.D.
Pediatrics
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820
DR. MYANH CONG DDS
Dentist
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-5282
DR. TANYA KILEY SACKRIDER DDS
Dentist (General Practice)
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2821
HEALTHSOURCE OF OHIO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820
BRANDI L MCCONNELL PA-C
Physician Assistant
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820
REBEKAH R LONG M.D.
Pediatrics
4627 AICHOLTZ RD
CINCINNATI, OH 45244
Hamilton County (513) 753-2820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivanna Soto's NPI number?

The NPI number for Ivanna Soto is 1295629640. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Ivanna Soto located?

Ivanna Soto practices at 4627 Aicholtz Rd, Cincinnati, OH 45244. The listed phone number is (513) 753-2820.

What is Ivanna Soto's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ivanna Soto enrolled in Medicare?

Yes. Ivanna Soto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivanna Soto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivanna Soto reassigns Medicare benefits to Healthsource Of Ohio, Inc. (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivanna Soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivanna Soto accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Ivanna Soto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivanna Soto was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.