NPIMap

Organization Active NPI

DRS Salem and Soliman Dental Corp

  • Pediatric Dentistry
  • Modesto, CA
National Provider Identifier
1396360384
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DRS SALEM AND SOLIMAN DENTAL CORP
Practice address
2119 E Hatch Rd Ste Bandc
Modesto, CA 95351-4814
Phone
(209) 573-0879
NPI assigned
Jun 15, 2020
Organization subpart
Yes
Parent organization
DRS SALEM AND SOLIMAN DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Dr. Ahmed Salem, DDS
Title
Ceo, DDS
Phone
(209) 573-0879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2119 E Hatch Rd Ste Bandc
Modesto, CA 95351-4814

Mailing address

1021 S Main St
Manteca, CA 95337-5703
Phone (209) 573-0879

Other names 1

  • Kids Smile Dental and Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DRS Salem and Soliman Dental Corp4 organizations share this tax ID, including this one
Part of
DRS Salem and Soliman Dental Corp

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2119 E Hatch Rd
Modesto, CA 95351
Phone (209) 573-0879

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1396360384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S MAIN ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375703",
            "telephone_number": "209-573-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 E HATCH RD STE BANDC",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514814",
            "telephone_number": "209-573-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS SALEM AND SOLIMAN DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS SALEM AND SOLIMAN DENTAL CORP",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO, DDS",
        "authorized_official_telephone_number": "209-573-0879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Smile Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.