Organization Active NPI

Dustin R. Solis DDS PLLC

  • Dentist
  • Mineola, NY
National Provider Identifier
1295103208
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053183 Issued in NY
Legal business name
DUSTIN R. SOLIS DDS PLLC
Practice address
192 Jericho Tpke
Mineola, NY 11501-1723
Phone
(516) 307-1050
Fax
(516) 307-1052
NPI assigned
Sep 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Dr. Dustin R Solis, DDS
Title
Owner
Phone
(516) 307-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 053183 NY Primary

Addresses

Primary practice location

192 Jericho Tpke
Mineola, NY 11501-1723

Mailing address

192 Jericho Tpke
Mineola, NY 11501-1723
Phone (516) 307-1050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1295103208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011723",
            "telephone_number": "516-307-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011723",
            "telephone_number": "516-307-1050",
            "fax_number": "516-307-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN R. SOLIS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-307-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.