Active NPI
Robert Jackie Solomon, DMD
- General Practice Dentistry
- Hatboro, PA
National Provider Identifier
1437245966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS028628L
- Practice address
- 300 North York Road
Hatboro, PA 19040 - Phone
- (215) 675-1404
- Fax
- (215) 675-6679
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DS028628L | PA | Primary |
Addresses
Primary practice location
300 North York Road
Hatboro, PA 19040
Mailing address
211 Hazeltine Circle
Blue Bell, PA 19422
Phone (610) 377-8882
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 |
|---|---|---|---|
| DS028628L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437245966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 HAZELTINE CIRCLE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "19422",
"telephone_number": "610-377-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NORTH YORK ROAD",
"city": "HATBORO",
"state": "PA",
"postal_code": "19040",
"telephone_number": "215-675-1404",
"fax_number": "215-675-6679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "ROBERT",
"middle_name": "JACKIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS028628L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatboro, PA
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.