Individual provider Active NPI

Kimberly Soleimani, KIMBERLY SOLEIMANI

  • Pediatric Dentistry
  • Merrick, NY
National Provider Identifier
1174842991
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
056049 Issued in NY
Practice address
2265 Halyard Dr
Merrick, NY 11566-5526
Phone
(516) 298-8922
NPI assigned
May 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DO NOT KNOW NY
Pediatric Dentistry 1223P0221X 056049 NY Primary

Addresses

Primary practice location

2265 Halyard Dr
Merrick, NY 11566-5526

Mailing address

6 Juniper Dr
Great Neck, NY 11021-2816
Phone (516) 298-8922

Other names 1

  • Dr. Kimberly Soleimani Other 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
056049NYMDPediatric Dentist
DO NOT KNOWNYMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1174842991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUNIPER DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212816",
            "telephone_number": "516-298-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 HALYARD DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665526",
            "telephone_number": "516-298-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEIMANI",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "KIMBERLY SOLEIMANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "DO NOT KNOW",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "056049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SOLEIMANI",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.