Individual provider Active NPI

Solomuna Habtu, DDS

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1215324041
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2024003677 Issued in MO
Practice address
2647 Locust St
Saint Louis, MO 63103-1411
Phone
(855) 751-8879
NPI assigned
Apr 20, 2015
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2024003677 MO Primary

Addresses

Primary practice location

2647 Locust St
Saint Louis, MO 63103-1411

Mailing address

PO Box 18412
Palatine, IL 60055-8412
Phone (866) 525-5484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003001688 WA Order and Referring Only - DentistPractitioner - Dentist 6901193176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024003677MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Westphal-Stolle D.M.D., P.C PastSince Jul 22, 2025 Accepting new patients
Vivent Health Inc Dentist PastSince Nov 18, 2025 Accepting new patients
Edp of Missouri PC PastSince Jul 22, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1215324041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18412",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600558412",
            "telephone_number": "866-525-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 LOCUST ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031411",
            "telephone_number": "855-751-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABTU",
        "first_name": "SOLOMUNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2024003677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.