Solomon Family Dentistry, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6515 Issued in NE

Legal business name

SOLOMON FAMILY DENTISTRY, P.C.

Practice address

544 McCarty St
Merna, NE 68856-0327

Phone

(308) 643-2679

Fax

(308) 643-2684

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stacy L Solomon, D.D.S.

Title

President

Phone

(308) 643-2679

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053481606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "MERNA",
            "state": "NE",
            "postal_code": "688560327",
            "telephone_number": "308-643-2679",
            "fax_number": "308-643-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 MCCARTY ST",
            "city": "MERNA",
            "state": "NE",
            "postal_code": "688560327",
            "telephone_number": "308-643-2679",
            "fax_number": "308-643-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-643-2679",
        "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": "NE",
            "license": "6515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025242100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05178",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Bradley Foster, DDS
• Jordan Dental /Self
• Clint R Jordan, D.D.S.
• Merna Emergency Medical Services
• Hannah Marie Parsons, CCC-SLP
• Village of Merna

• General Practice Dentistry in Merna, NE
• Providers in Merna, NE by specialty
• General Practice Dentistry in Nebraska

• 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.