DR. SCOTT SODERSTROM D D S P C
NPI 1457326878
Dentist - General Practice in Spokane, WA

Active since February 20, 2006PECOS Enrolled
101 W CASCADE WAY, SUITE 200, SPOKANE, WA 99208(509) 467-5202(509) 466-0518 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2023, Sep 11, 2019 (2 updates tracked since 2019).

About Dr. Scott Soderstrom D D S P C NPPES

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

DR. SCOTT SODERSTROM D D S P C (NPI 1457326878) is an individual general practice provider in Spokane, Washington, licensed in Washington (DE00008668) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457326878
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SCOTT SODERSTROMCredential: D D S P C
Location Address101 W CASCADE WAY, SUITE 200Spokane, WA 99208-6003
Mailing Address101 W Cascade Way, Suite 200Spokane, WA 99208-6003 · (509) 467-5202 · Fax (509) 468-0518
Fax(509) 466-0518
Sole ProprietorYes
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
NPI 1457326878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · DE00008668
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

101 W CASCADE WAY, Spokane, WA 99208

Other Identifiers 8

Medicaid5037479WA
OtherDE00008668WA · State Dental License
Other21933WA · United Concordia Id
Other602-040-560WA · Unified Business Id
Other1287SOBlue Cross
Other0150532WA · Labor And Industries Id#
Other174980063Ada Number
Other91-2051287Tax Id #

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Scott Soderstrom D D S P C 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99208 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 11

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

Dentist (Oral and Maxillofacial Surgery)
101 W CASCADE WAY, SUITE 103
SPOKANE, WA 99208
Dentist (General Practice)
101 W CASCADE WAY, #101
SPOKANE, WA 99208
Dentist (Prosthodontics)
101 W CASCADE WAY, SUITE 205
SPOKANE, WA 99208
Dentist (Oral and Maxillofacial Surgery)
101 W CASCADE WAY, SUITE 103
SPOKANE, WA 99208
Dentist (General Practice)
101 W CASCADE WAY, SUITE 202
SPOKANE, WA 99208
Dentist (General Practice)
101 W CASCADE WAY, SUITE 202
SPOKANE, WA 99208
Dentist (Orthodontics and Dentofacial Orthopedics)
101 W CASCADE WAY, SUITE 100
SPOKANE, WA 99208
Dentist (Oral and Maxillofacial Surgery)
101 W CASCADE WAY, SUITE 103
SPOKANE, WA 99208

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 Scott Soderstrom's NPI number?

The NPI number for Scott Soderstrom is 1457326878. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Scott Soderstrom located?

Scott Soderstrom practices at 101 W Cascade Way Suite 200, Spokane, WA 99208. The listed phone number is (509) 467-5202.

What is Scott Soderstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Scott Soderstrom enrolled in Medicare?

Yes. Scott Soderstrom is registered in the Medicare PECOS enrollment system.

What insurance does Scott Soderstrom accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Scott Soderstrom 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 Scott Soderstrom was last updated on January 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.