Edan Soleimanian

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06423101 Issued in NY

Practice address

11 Tideway St
Great Neck, NY 11024-1118

Phone

(516) 749-8565

NPI assigned

May 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1245920115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TIDEWAY ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241118",
            "telephone_number": "516-749-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TIDEWAY ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241118",
            "telephone_number": "516-749-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEIMANIAN",
        "first_name": "EDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-12",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "06423101",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elain Sobol, M.D,
• Evita R Sokol, DACM, LAC.
• Tina Soleimani Lalo, OTR/L
• Rebecca Abigail Soleimani
• Tiffany Soleimani
• Mahtab Soleimanzadeh, RD, CDN
• Nicole Solemanyan
• Kayla Sollecito, DPT
• Vinod Y Somareddy, PT, DPT
• Lisa Someck, LCSW-R

• General Practice Dentistry in Great Neck, NY
• Providers in Great Neck, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.