NICHOLAS ROBERT SOTAK (DMD) – Dentist, NPI 1629345558
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
46 DENTIST in WA
Provider Addresses for NICHOLAS ROBERT SOTAK (DMD)
9900 LINCOLN ST FL 2
DENTAC
TACOMA, WA 984310001
Phone: (253) 968-4039
Fax: (253) 968-5919
Type: Mailing
1959 NE Pacific St # B221
Seattle, WA 981950001
Phone: (206) 685-2937
Fax: (206) 616-8577
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201015002492 | I | Dentist | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Oral Surgery | WA | |
| P R O S T H O D O N T I C S | WA | |
| Oral Medicine | WA | |
| Oral And Maxillofacial Pathology | WV | |
| Oral Surgery | WA | |
| Oral Surgery, Maxillofacial Surgery | WA | |
| D E N T I S T | WA | |
| Oral Surgery | WA | |
| Maxillofacial Surgery, Oral Surgery | WA | |
| D E N T I S T | WA |
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