Active NPI
Max Emiliano Rodriguez Solis, HN
- Dental Hygienist
- Yuma, AZ
National Provider Identifier
1093311250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 1175 Hart St
Yuma, AZ 85369 - Phone
- (469) 810-9157
- NPI assigned
- Dec 11, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | AZ | Primary |
Addresses
Primary practice location
1175 Hart St
Yuma, AZ 85369
Mailing address
1St DNBN Attn: Credentials
Box 555221
Camp Pendelton, CA 92055
Phone (469) 810-9157
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Clinic | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1093311250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1ST DNBN ATTN: CREDENTIALS",
"address_2": "BOX 555221",
"city": "CAMP PENDELTON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "469-810-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 HART ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "85369",
"telephone_number": "469-810-9157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ SOLIS",
"first_name": "MAX",
"middle_name": "EMILIANO",
"credential": "HN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Clinic",
"affiliation": "N",
"endpointDescription": "MCAS Yuma",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "clinic",
"address_1": "1175 Hart ST",
"city": "Yuma",
"state": "AZ",
"country_code": "US",
"postal_code": "85369",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.