DR. SCOTT A. SODERQUIST D.D.S.
NPI 1477883270
Dentist - Orthodontics and Dentofacial Orthopedics in Joliet, IL

Active since December 30, 2009Opted out of Medicare · through Apr 19, 2028
1118 N LARKIN AVE, JOLIET, IL 60435(815) 725-4070(815) 725-4054 Get Directions Write a Review

NPPES record last updated: December 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Scott A. Soderquist D.d.s. NPPES

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

DR. SCOTT A. SODERQUIST D.D.S. (NPI 1477883270) is an individual orthodontics and dentofacial orthopedics provider in Joliet, Illinois, licensed in Illinois (021002112) and active in the NPI registry since December 2009. He has opted out of Medicare through April 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477883270
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. SCOTT A. SODERQUISTCredential: D.D.S.
Location Address1118 N LARKIN AVEJoliet, IL 60435-3456
Mailing Address1118 N Larkin AveJoliet, IL 60435-3456 · (815) 725-4070 · Fax (815) 725-4054
Fax(815) 725-4054
Sole ProprietorNo
Enumeration DateDecember 30, 2009
NPI 1477883270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IL · 021002112
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1118 N LARKIN AVE, Joliet, IL 60435

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Scott A. Soderquist D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 19, 2016 through April 19, 2028.

Opt-Out Effective DateApril 19, 2016
Opt-Out In Effect ThroughApril 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60435 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 8

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1118 N LARKIN AVE
JOLIET, IL 60435
Dentist
1118 N LARKIN AVE
JOLIET, IL 60435
Dentist (Orthodontics and Dentofacial Orthopedics)
1118 N LARKIN AVE
JOLIET, IL 60435
Chiropractor
1118 N LARKIN AVE
JOLIET, IL 60435
Chiropractor
1118 N LARKIN AVE
JOLIET, IL 60435
Dentist
1118 N LARKIN AVE
JOLIET, IL 60435
Dentist (Orthodontics and Dentofacial Orthopedics)
1118 N LARKIN AVE
JOLIET, IL 60435
Dentist (General Practice)
1118 N LARKIN AVE
JOLIET, IL 60435

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 Soderquist's NPI number?

The NPI number for Scott Soderquist is 1477883270. It was assigned to this individual provider in the NPPES registry on December 30, 2009.

Where is Scott Soderquist located?

Scott Soderquist practices at 1118 N Larkin Ave, Joliet, IL 60435. The listed phone number is (815) 725-4070.

What is Scott Soderquist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Scott Soderquist enrolled in Medicare?

No. Scott Soderquist has opted out of Medicare through April 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Scott Soderquist accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Scott Soderquist 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 Soderquist was last updated on December 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.