Organization Active NPI

Michael Solomon DO LLC

  • Ophthalmology Physician
  • Denver, CO
National Provider Identifier
1316501406
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MICHAEL SOLOMON DO LLC
Practice address
1601 E 19TH Ave Ste 3450
Denver, CO 80218-1219
Phone
(303) 863-1231
NPI assigned
Apr 24, 2019
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Michael Solomon, DONPI 1891736633
Title
Provider
Phone
(425) 516-8988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1601 E 19TH Ave Ste 3450
Denver, CO 80218-1219

Mailing address

1601 E 19TH Ave Ste 3450
Denver, CO 80218-1219
Phone (303) 863-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190731000505 CO Part B Supplier - Clinic/Group Practice 2163758079 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

950 E Harvard Ave
Ste 120
Denver, CO 80210
Phone (303) 471-0346

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1316501406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 3450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181219",
            "telephone_number": "303-863-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 3450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181219",
            "telephone_number": "303-863-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SOLOMON DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "425-516-8988",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.