Active NPI
Paul Alan Solomon, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Dallas, TX
National Provider Identifier
1144349200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- F7185
- Practice address
- 4740 Holly Tree Dr
Dallas, TX 75287-7219 - Phone
- (972) 447-9913
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F7185 | TX | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | F7185 | TX | Primary |
Addresses
Primary practice location
4740 Holly Tree Dr
Dallas, TX 75287-7219
Mailing address
4740 Holly Tree Dr
Dallas, TX 75287-7219
Phone (972) 447-9913
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17636 | Other | MS | STATE LICENSE |
| F7185 | Other | TX | ORIGINAL STATE LICENSE |
| MD24716 | Other | AL | STATE LICENSE |
| 22841 | Other | OK | STATE LICENSE |
| 37161 | Other | AZ | STATE LICENSE |
| MD14585R | Other | LA | STATE LICENSE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F7185 | TX | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1144349200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 HOLLY TREE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877219",
"telephone_number": "972-447-9913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 HOLLY TREE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877219",
"telephone_number": "972-447-9913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "PAUL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F7185",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "F7185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "17636",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORIGINAL STATE LICENSE",
"identifier": "F7185",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD24716",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "22841",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "37161",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD14585R",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.