Active NPI
David Brian Solomon, D.D.S.
- General Practice Dentistry
- Cambridge, VT
National Provider Identifier
1023058260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 016-0001038
- Practice address
- 272 N Main St
Suite 201
Cambridge, VT 05444-9810 - Phone
- (802) 644-5135
- Fax
- (802) 644-6516
- NPI assigned
- Jun 7, 2006
- Last updated
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 016-0001038 | VT | Primary |
Addresses
Primary practice location
272 N Main St
Suite 201
Cambridge, VT 05444-9810
Mailing address
272 North Main Street Suite 201
P.O. Box 179
Cambridge, VT 05444-0179
Phone (802) 644-5135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160215002798 | VT | Practitioner - Oral Surgery | 2567766330 | Practice locations: Cambridge, VT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-0001038 | VT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Past | Accepting new patients |
Interoperability endpoints
- dsolomon267954@direct.uvmhealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1023058260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 NORTH MAIN STREET SUITE 201",
"address_2": "P.O. BOX 179",
"city": "CAMBRIDGE",
"state": "VT",
"postal_code": "054440179",
"telephone_number": "802-644-5135",
"fax_number": "802-644-6516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 N MAIN ST",
"address_2": "SUITE 201",
"city": "CAMBRIDGE",
"state": "VT",
"postal_code": "054449810",
"telephone_number": "802-644-5135",
"fax_number": "802-644-6516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "DAVID",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VT",
"license": "016-0001038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.