Individual provider Active NPI

Mariam Kamel Labib- Soliman, DMD

  • Endodontics
  • Wilmington, DE
National Provider Identifier
1114158292
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS037462 Issued in PA
Practice address
2036 Foulk Rd Ste 203
Wilmington, DE 19810-3650
Phone
(302) 475-3803
Fax
(302) 475-3403
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS037462 PA Primary

Addresses

Primary practice location

2036 Foulk Rd Ste 203
Wilmington, DE 19810-3650

Mailing address

1900 Hamilton St Unit D10
Philadelphia, PA 19130-4075
Phone (612) 481-7470

Other practice location 1

120 Lafayette St
Kennett Square, PA 19348-3000
Phone (610) 444-6997

Other names 1

  • Mariam Labib Former name

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

State licenses

LicenseStateTypeSpecialty
DS037462PAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1114158292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HAMILTON ST UNIT D10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304075",
            "telephone_number": "612-481-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 FOULK RD STE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103650",
            "telephone_number": "302-475-3803",
            "fax_number": "302-475-3403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Kennett Square",
            "state": "PA",
            "postal_code": "193483000",
            "country_code": "US",
            "telephone_number": "610-444-6997",
            "fax_number": "610-444-4727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABIB- SOLIMAN",
        "first_name": "MARIAM",
        "middle_name": "KAMEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS037462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAM",
            "last_name": "LABIB",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.