Individual provider Active NPI

Jiten Solanki, DMD

  • Dentist
  • Dallas, TX
National Provider Identifier
1295334050
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39292 Issued in TX
Practice address
2300 W Illinois Ave
Dallas, TX 75224-1638
Phone
(469) 809-1919
NPI assigned
Oct 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD5362 NM
Dentist 122300000X 39292 TX Primary

Addresses

Primary practice location

2300 W Illinois Ave
Dallas, TX 75224-1638

Mailing address

2300 W Illinois Ave
Dallas, TX 75224-1638
Phone (423) 863-3899

Other practice location 1

3030 E Main St Ste T1
Farmington, NM 87402-7627
Phone (505) 436-3569

Other practice location 2

2780 Highway 365 Ste C
Port Arthur, TX 77640-2191
Phone (409) 433-9254

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

State licenses

LicenseStateTypeSpecialty
DD5362NMMDDentist
39292TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
PS Dental PLLC General Practice CurrentSince Apr 21, 2024 Accepting new patients
Elevare Dental PLLC General Practice Current Accepting new patients
Gulfside Dental Port Arthur PLLC Dentist Past Accepting new patients

Locations

2300 W Illinois Ave
Dallas, TX 75224
Phone (214) 942-8999

Organizations & group practices 3

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1295334050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241638",
            "telephone_number": "423-863-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241638",
            "telephone_number": "469-809-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 E Main St Ste T1",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874027627",
            "country_code": "US",
            "telephone_number": "505-436-3569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2780 Highway 365 Ste C",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776402191",
            "country_code": "US",
            "telephone_number": "409-433-9254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLANKI",
        "first_name": "JITEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD5362",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.