{"npi":"1154536647","type":"NPI-2","status":"active","name":{"display":"Leo Sotiriou, MD, LLC","other":[],"organization_name":"LEO SOTIRIOU, MD, LLC","authorised_official":"Leo Sotiriou"},"specialty":{"primary_taxonomy":"207NS0135X","primary_taxonomy_description":"Procedural Dermatology Physician","slug":"procedural-dermatology-physician","schema_org_specialty":null,"all":[{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":true,"state":"UT","license":"155029-1205"}]},"addresses":[{"purpose":"LOCATION","street_1":"250 EAST 300 SOUTH #330","city":"SALT LAKE CITY","state":"UT","postal_code":"841112424","country_code":"US","phone":"8015215630","fax":"8015969780"},{"purpose":"MAILING","street_1":"250 EAST 300 SOUTH #330","city":"SALT LAKE CITY","state":"UT","postal_code":"841112424","country_code":"US","phone":"8015215630","fax":"8015969780"}],"license":{"state":"UT","number":"155029-1205"},"identifiers":[{"type_code":"01","label":"Other","value":"000057743","state":"UT","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040901000750","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"UT","pac_id":"3678548617"}]},"enumeration_date":"2007-05-10","last_updated":"2012-01-04","_meta":{"source":"NPPES","snapshot_date":"2012-01-04","doc_url":"https://findmynpi.com/api"}}