David Barry Solomon, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

11510 Issued in AZ

Practice address

10615 W Thunderbird Blvd
Suite 125, BLDG B
Sun City, AZ 85351-3033

Phone

(623) 974-3659

Fax

(623) 974-0018

NPI assigned

Jan 24, 2006

Last updated

Apr 1, 2011By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Solomon Dermatology, Inc.

  • Specialist
  • Peoria, AZ
  • NPI 1033215405
  Authorized official Same address or phone

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1184694911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 W THUNDERBIRD BLVD",
            "address_2": "SUITE 125, BLDG B",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513033",
            "telephone_number": "623-974-3659",
            "fax_number": "623-974-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 W THUNDERBIRD BLVD",
            "address_2": "SUITE 125, BLDG B",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513033",
            "telephone_number": "623-974-3659",
            "fax_number": "623-974-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "DAVID",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "11510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER",
            "identifier": "2173735",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070013674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER  ID",
            "identifier": "AZ0853180",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• SNH SE Tenant TRS, Inc (Gardens at Sun City)
• Dawna Snider, LAC
• Timothy Joel Sobczak, RN
• Dana K Sochacki, NP
• Seokhan Song, D.O., M.S.
• Devendra Soni, M.D.
• Vidushi Soni, MD
• Sonora Quest Laboratories LLC
• Sonus-USA, Inc.

• Specialist in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.