Active NPI
Carlos Antonio Solis Pena, DDS
- Dentist
- Van Nuys, CA
National Provider Identifier
1477248532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108230
- Practice address
- 14435 Hamlin St Ste 101
Van Nuys, CA 91401-6205 - Phone
- (818) 988-7067
- NPI assigned
- Apr 5, 2023
- Last updated
- Apr 6, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 108230 | CA | Primary |
Addresses
Primary practice location
14435 Hamlin St Ste 101
Van Nuys, CA 91401-6205
Mailing address
19013 Schoolcraft St
Reseda, CA 91335-3925
Phone (818) 943-1625
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 |
|---|---|---|---|
| 108230 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1477248532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19013 SCHOOLCRAFT ST",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353925",
"telephone_number": "818-943-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14435 HAMLIN ST STE 101",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914016205",
"telephone_number": "818-988-7067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLIS PENA",
"first_name": "CARLOS",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-05",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.