Jim J Soltani, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401008786 Issued in VA

Practice address

6019 Centreville Crest LN
Centreville, VA 20121

Phone

(703) 266-2000

Fax

(703) 830-8090

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jim J Soltani, DDS & Associates

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Centreville, VA
  • NPI 1245399799
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295802932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 CENTREVILLE CREST LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-266-2000",
            "fax_number": "703-830-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 CENTREVILLE CREST LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-266-2000",
            "fax_number": "703-830-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTANI",
        "first_name": "JIM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Smith, PT
• Kelly Smith, PT
• Kelly D. Smith, MA, LPC, NCC
• Kellie Elizabeth Soafer, DMD
• Eleni Solos-Kountouris, MD
• Sounds and Words, LLC
• Nadine Srour
• Step by Step Pediatric Therapy Services, Inc.
• Donald Stevens
• Jacqueline Michelle Stiles

• Dentist in Centreville, VA
• Providers in Centreville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.