Charles K Wear, DDS and Brandy L Egan Solomon, DDS, MSD, Apc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

20962 Issued in CA

Legal business name

CHARLES K WEAR, DDS AND BRANDY L EGAN SOLOMON, DDS, MSD, APC

Practice address

1880 Sonoma Ave
Santa Rosa, CA 95405-4953

Phone

(707) 546-8600

Fax

(707) 546-0166

NPI assigned

Oct 8, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn L Lougee

Title

Finance/Insurance

Phone

(707) 522-1059

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1336491927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054953",
            "telephone_number": "707-546-8600",
            "fax_number": "707-546-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054953",
            "telephone_number": "707-546-8600",
            "fax_number": "707-546-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES K WEAR, DDS AND BRANDY L EGAN SOLOMON, DDS, MSD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "LOUGEE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCE/INSURANCE",
        "authorized_official_telephone_number": "707-522-1059",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "20962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G93118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Linn Channel, ASW
• Souraxay Chanthavong
• David Chapman
• Jaime Chapman
• Lya Chapman
• Charles Robert Pettit MD a Medical Corporation
• Nicholas John Charlton, DC
• Mark Charnas, MFT
• David Allen Charp, M.D.
• Christine Charron, MFT REG. INTERN

• Orthodontics and Dentofacial Orthopedics Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.