Active NPI
Isabella Shtulman Soloveychik, D.D.S.
- General Practice Dentistry
- Hayward, CA
National Provider Identifier
1255463154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42228
- Practice address
- 19682 Hesperian Blvd
Suite 101
Hayward, CA 94541-4752 - Phone
- (510) 782-9942
- Fax
- (800) 668-9530
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42228 | CA | Primary |
Addresses
Primary practice location
19682 Hesperian Blvd
Suite 101
Hayward, CA 94541-4752
Mailing address
5300 Cypress Hawk CT
San Ramon, CA 94582-5009
Phone (925) 968-9004
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000007377 | Other | CA | PACIFICARE DENTAL |
| B42228-01 | Medicaid | CA | |
| 000000003937 | Other | CA | UNITEDHEALTHCARE |
Other names 1
- Isabella Shtulman -Soloveychik
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42228 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1255463154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 CYPRESS HAWK CT",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825009",
"telephone_number": "925-968-9004",
"fax_number": "510-782-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19682 HESPERIAN BLVD",
"address_2": "SUITE 101",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414752",
"telephone_number": "510-782-9942",
"fax_number": "800-668-9530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOVEYCHIK",
"first_name": "ISABELLA",
"middle_name": "SHTULMAN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE DENTAL",
"identifier": "000000007377",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B42228-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "000000003937",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ISABELLA",
"last_name": "SHTULMAN -SOLOVEYCHIK",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.