NPIMap

Organization Active NPI

Marc Soelberg DDS PLLC

Doing business as Summit Kids Dental

  • Dental Clinic/Center
  • Post Falls, ID
National Provider Identifier
1033896337
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARC SOELBERG DDS PLLC
Doing business as
Summit Kids Dental
Practice address
151 W 3Rd Ave Unit 102
Post Falls, ID 83854-4038
Phone
(208) 618-8878
Fax
(208) 618-8879
NPI assigned
Jun 29, 2023
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Marc Soelberg, DDSNPI 1235698226
Title
Owner
Phone
(208) 618-8878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

151 W 3Rd Ave Unit 102
Post Falls, ID 83854-4038

Mailing address

151 W 3Rd Ave Unit 102
Post Falls, ID 83854-4038

Other names 1

  • Summit Kids Dental Doing business as

National Provider Directory

National Provider Directory

Locations

151 W 3rd Ave
Ste 102
Post Falls, ID 83854
Phone (208) 618-8878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1033896337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W 3RD AVE UNIT 102",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 3RD AVE UNIT 102",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544038",
            "telephone_number": "208-618-8878",
            "fax_number": "208-618-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC SOELBERG DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "SOELBERG",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-618-8878",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.