NPIMap

Organization Active NPI

Soleiman Professional Dental Corporation

  • Periodontics
  • Valencia, CA
National Provider Identifier
1437364288
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
43860 Issued in CA
Legal business name
SOLEIMAN PROFESSIONAL DENTAL CORPORATION
Practice address
24218 Valencia Blvd
Valencia, CA 91355-5391
Phone
(661) 288-0288
Fax
(661) 286-9925
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. Bobby Soleiman, D.D.S
Title
President
Phone
(818) 389-7288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 43860 CA Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X S4-61C NV

Addresses

Primary practice location

24218 Valencia Blvd
Valencia, CA 91355-5391

Mailing address

PO Box 800152
Valencia, CA 91380-0152
Phone (818) 389-7288

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1437364288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800152",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913800152",
            "telephone_number": "818-389-7288",
            "fax_number": "818-386-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24218 VALENCIA BLVD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555391",
            "telephone_number": "661-288-0288",
            "fax_number": "661-286-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEIMAN PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "SOLEIMAN",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-389-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "43860",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4-61C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.