Brenton Brian Soltys, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019-029603 Issued in IL

Practice address

435 N Mulford Rd
Suite 11
Rockford, IL 61107-5189

Phone

(815) 397-8600

Fax

(815) 397-6804

NPI assigned

Aug 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1225461486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N MULFORD RD",
            "address_2": "SUITE 11",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075189",
            "telephone_number": "815-397-8600",
            "fax_number": "815-397-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N MULFORD RD",
            "address_2": "SUITE 11",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075189",
            "telephone_number": "815-397-8600",
            "fax_number": "815-397-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTYS",
        "first_name": "BRENTON",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-029603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity L Soles, MSN FNP-BC APRN
• Adam Soliman, DO
• Adam Soliman, MD
• Kellie Solka, PHARMD
• Mary K Solon-Goers, L.C.S.W.
• Brian F. Soltys, D.D.S.
• Daniel Sommer, LCSW
• Adam Sommerfeld, LSW
• Gayatri Sonti, DO
• Rebekah Sooy, PA-C

• Dentist in Rockford, IL
• Providers in Rockford, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.