NPIMap

Individual provider Active NPI

Deidre Jeanne Solberg-Daniels, MD

  • Family Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1255310967
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51539 Issued in MN
Practice address
2330 Central Ave NE
Minneapolis, MN 55418-2950
Phone
(612) 781-1212
Fax
(612) 781-5251
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51539 MN Primary

Addresses

Primary practice location

2330 Central Ave NE
Minneapolis, MN 55418-2950

Mailing address

2330 Central Ave NE
Minneapolis, MN 55418-2950
Phone (612) 781-1212

Other identifiers 1

IdentifierTypeStateIssuer
166688MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sama Healthcare Family Medicine CurrentSince Feb 20, 2017 Accepting new patients
Med 97 LLC Past Accepting new patients
Consulting Radiologists, LTD Past Accepting new patients
Sun Health Corporation Past Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients
Saint Francis Medical Clinic Past Accepting new patients

Locations

2330 Central Ave NE
Minneapolis, MN 55418
Phone (612) 781-1212

Interoperability endpoints

  • Direct secure messaging: deidre.solbergdaniels@avera.sdhealthlink.net
  • FHIR API: https://api.platform.athenahealth.com/19405/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1255310967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182950",
            "telephone_number": "612-781-1212",
            "fax_number": "612-781-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 CENTRAL AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182950",
            "telephone_number": "612-781-1212",
            "fax_number": "612-781-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLBERG-DANIELS",
        "first_name": "DEIDRE",
        "middle_name": "JEANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "51539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166688",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.