Organization Active NPI

Soltani & PO,D.D.S., Inc. Apc

  • General Practice Dentistry
  • Fairfield, CA
National Provider Identifier
1013081918
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54307 Issued in CA
Legal business name
SOLTANI & PO,D.D.S., INC. APC
Practice address
2560 N Texas St
Suite H
Fairfield, CA 94533-1649
Phone
(707) 422-5441
Fax
(707) 426-3390
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sam NMN Soltani, D.D.S.
Title
President
Phone
(707) 422-5441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54307 CA Primary

Addresses

Primary practice location

2560 N Texas St
Suite H
Fairfield, CA 94533-1649

Mailing address

2560 N Texas St
Suite H
Fairfield, CA 94533-1649
Phone (707) 422-5441

National Provider Directory

National Provider Directory

Locations

2560 N Texas St
Ste H
Fairfield, CA 94533
Phone (707) 422-5441

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013081918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 N TEXAS ST",
            "address_2": "SUITE H",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331649",
            "telephone_number": "707-422-5441",
            "fax_number": "707-426-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 N TEXAS ST",
            "address_2": "SUITE H",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331649",
            "telephone_number": "707-422-5441",
            "fax_number": "707-426-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLTANI & PO,D.D.S., INC. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLTANI",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-422-5441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.