Otha Lee Solomon Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4990 Issued in NC

Practice address

BLDG 4100 Goss Rd
Redstaone Arsenal Dental Clinic
Redstone Arsenal, AL 35809-7000

Phone

(256) 693-7127

NPI assigned

Oct 14, 2005

Last updated

Jun 3, 2016By the provider in NPPES

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1275522161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 4100 GOSS RD",
            "address_2": "REDSTAONE ARSENAL DENTAL CLINIC",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-693-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 4100 GOSS RD",
            "address_2": "REDSTAONE ARSENAL DENTAL CLINIC",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-693-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "OTHA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4990",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5984C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madan A Maladkar, MD
• Aida Moultrie, O.D.
• Amy Felice Sellers, LCSW
• Carly Marie Skarphol, RN
• Harold Brown Smith III, LPC, CADC, NCC
• Jo-Ann Anita Taalib, BCD,LCSW, MAC
• Minnetta Williams, CRNP
• Caleb Michael Winn, DO
• Joe Dee Wright, PHARMACIST
• Stacy Zimmerman, RN

• Dentist in Redstone Arsenal, AL
• Providers in Redstone Arsenal, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.