Adam Solomon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34332 Issued in TX

Practice address

1800 S Pacific St
Mineola, TX 75773-2800

Phone

(903) 569-5569

NPI assigned

Jul 10, 2018

Last updated

Jul 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake View Dental Center

  • Dental Clinic/Center
  • Mineola, TX
  • NPI 1699953349
  NPD (past)

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1326534678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 PLANTATION DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732800",
            "telephone_number": "903-569-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Corinne Sharp, LCDC
• Lucas Shipman, D.D.S.
• Trisha Shockley, RN
• Deborah C Sitton, ANP
• Nancy Renee Smith, LPC
• Roger Paul Stai, RPH
• Stratford Hospital District (Caraday of Mineola)
• Marvin Leif Stromberg, DDS
• Dylan James Sutton, DO
• Brianna Nicole Teaff, DC

• General Practice Dentistry in Mineola, TX
• Providers in Mineola, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.