Sameh Nashat Soliman, DMD, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107749 Issued in CA

Practice address

3591 Hamner Ave Ste D
Norco, CA 92860-1376

Phone

(951) 800-5933

Fax

(951) 574-0406

NPI assigned

Aug 10, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sameh Soliman Dental Corporation

  • Dental Clinic/Center
  • Norco, CA
  • NPI 1891403507
  NPD Authorized official

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1124756911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 HAMNER AVE STE D",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601376",
            "telephone_number": "951-800-5933",
            "fax_number": "951-574-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 HAMNER AVE STE D",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601376",
            "telephone_number": "951-800-5933",
            "fax_number": "951-574-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "SAMEH",
        "middle_name": "NASHAT",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-2 NUMBER",
            "identifier": "1891403507",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DentalLyfeStudio.com",
            "affiliation": "N",
            "endpointDescription": "Dental Lyfe Studio website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3591 Hamner Ave Ste D",
            "city": "Norco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928601376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jessica Smith, RDN
• Malik Smith
• Adriana Castro Soriano, LCSW
• Southern California Emergency Medicine
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• Starry Eyes Optometry, Inc.
• Ireneusz Jerzy Stasiuk, MSW

• General Practice Dentistry in Norco, CA
• Providers in Norco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.