Solomon T. Woldesilassie, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5068 Issued in AZ

Legal business name

SOLOMON T. WOLDESILASSIE, DDS, PC

Practice address

26224 N Tatum Blvd Ste 10
Phoenix, AZ 85050-7500

Phone

(480) 563-4173

Fax

(480) 563-5019

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Solomon Tekle Woldesilassie, DR.NPI 1710095799

Title

President

Phone

(480) 563-4173

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Solomon T Woldesilassie, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1710095799
  NPD (past) Authorized official

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1174770085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26224 N TATUM BLVD STE 10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507500",
            "telephone_number": "480-563-4173",
            "fax_number": "480-563-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26224 N TATUM BLVD STE 10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850507500",
            "telephone_number": "480-563-4173",
            "fax_number": "480-563-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON T. WOLDESILASSIE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "WOLDESILASSIE",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_middle_name": "TEKLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-563-4173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soloman Chiropractic, LLC
• Amy Soloman, DO
• Michael David Soloman, D.C.
• Nehad Soloman, M.D.
• Solomon Amdemariam LLC
• Blake Lawrence Solomon, PMHNP-BC
• Braiden Roy Solomon
• Briana Chandrise Solomon, REGISTERED NURSE
• David M Solomon, M.D.
• Jamie Solomon, RD

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.