Active NPI
Raymond Miles Solomon, D.D.S.
- Pediatric Dentistry
- Glendale, AZ
National Provider Identifier
1295754745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D4923
- Practice address
- 5757 W Thunderbird Rd
Suite #E-451
Glendale, AZ 85306-4641 - Phone
- (602) 345-7959
- Fax
- (480) 614-3478
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D4923 | AZ | Primary |
Addresses
Primary practice location
5757 W Thunderbird Rd
Suite #E-451
Glendale, AZ 85306-4641
Mailing address
9234 N Kober Rd
Paradise Valley, AZ 85253-1878
Phone (480) 614-5520
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
| License | State | Type | Specialty |
|---|---|---|---|
| D4923 | AZ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solomon Pediatric Dental PLLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Glendale, AZ
- NPI 1548540024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1295754745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9234 N KOBER RD",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852531878",
"telephone_number": "480-614-5520",
"fax_number": "480-614-3478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 W THUNDERBIRD RD",
"address_2": "SUITE #E-451",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064641",
"telephone_number": "602-345-7959",
"fax_number": "480-614-3478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "RAYMOND",
"middle_name": "MILES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D4923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.