Active NPI
Soleiman Soltani, DDS
- General Practice Dentistry
- Bellevue, WA
National Provider Identifier
1336219625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7090
- Practice address
- 14350 SE Eastgate Way
Bellevue, WA 98007-6458 - Phone
- (206) 296-9754
- Fax
- (206) 296-0577
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7090 | WA | Primary |
Addresses
Primary practice location
14350 SE Eastgate Way
Bellevue, WA 98007-6458
Mailing address
2128 N.135TH St.
Seattle, WA 98133
Phone (206) 367-0391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5017454 | Medicaid | WA |
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 |
|---|---|---|---|
| 7090 | WA | MD | General Practice Dentistry |
Interoperability endpoints
- ssoltani178942@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336219625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 N.135TH ST.",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98133",
"telephone_number": "206-367-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14350 SE EASTGATE WAY",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980076458",
"telephone_number": "206-296-9754",
"fax_number": "206-296-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLTANI",
"first_name": "SOLEIMAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "7090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5017454",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.