Active NPI
Barry E Solomon, DDS
- Dentist
- Albuquerque, NM
National Provider Identifier
1477530541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD2038
- Practice address
- 10000 Coors Byp NW
R G 218
Albuquerque, NM 87114-4040 - Phone
- (505) 242-4867
- Fax
- (505) 890-2883
- NPI assigned
- Dec 29, 2005
- 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 | DD2038 | NM | Primary |
Addresses
Primary practice location
10000 Coors Byp NW
R G 218
Albuquerque, NM 87114-4040
Mailing address
10000 Coors Byp NW
R G 218
Albuquerque, NM 87114-4040
Phone (505) 242-4867
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11610 | Medicaid | NM | |
| DD2038 | Other | NM | DENTAL LICENSE |
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 |
|---|---|---|---|
| DD2038 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottonwood Mall Dental Practice, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Albuquerque, NM
- NPI 1043487119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477530541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 COORS BYP NW",
"address_2": "R G 218",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144040",
"telephone_number": "505-242-4867",
"fax_number": "505-890-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 COORS BYP NW",
"address_2": "R G 218",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144040",
"telephone_number": "505-242-4867",
"fax_number": "505-890-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "BARRY",
"middle_name": "E",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD2038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11610",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "DD2038",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.