Individual provider Active NPI

David Brian Solomon, D.D.S.

  • General Practice Dentistry
  • Cambridge, VT
National Provider Identifier
1023058260
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016-0001038 Issued in VT
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160215002798 VT Practitioner - Oral Surgery 2567766330 Practice locations: Cambridge, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-0001038VTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.