NPIMap

Organization Active NPI

DRS Salem and Soliman Dental Corp

  • Dental Clinic/Center
  • Manteca, CA
National Provider Identifier
1205476207
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DRS SALEM AND SOLIMAN DENTAL CORP
Practice address
1021 S Main St
Manteca, CA 95337-5703
Phone
(209) 250-2600
Fax
(209) 250-2707
NPI assigned
Jan 8, 2020
Organization subpart
Yes
Parent organization
DRS SALEM AND SOLIMAN DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Dr. Ahmed F Salem, DDS, CEO
Title
Owner
Phone
(916) 849-3174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1021 S Main St
Manteca, CA 95337-5703

Mailing address

1021 S Main St
Manteca, CA 95337-5703
Phone (209) 250-2600

Other names 1

  • Kids Smile Dental and Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DRS Salem and Soliman Dental Corp4 organizations share this tax ID, including this one
Part of
DRS Salem and Soliman Dental Corp

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1021 S Main St
Manteca, CA 95337
Phone (209) 250-2600

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1205476207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S MAIN ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375703",
            "telephone_number": "209-250-2600",
            "fax_number": "209-250-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S MAIN ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375703",
            "telephone_number": "209-250-2600",
            "fax_number": "209-250-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS SALEM AND SOLIMAN DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS SALEM AND SOLIMAN DENTAL CORP",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-849-3174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, CEO"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Smile Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids Smile Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.