Antonio R Solis Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19846 Issued in TX

Practice address

9398 Viscount Blvd
Suite 3a
El Paso, TX 79925-8056

Phone

(915) 595-3333

Fax

(915) 595-3438

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619984119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9398 VISCOUNT BLVD",
            "address_2": "SUITE 3A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799258056",
            "telephone_number": "915-595-3333",
            "fax_number": "915-595-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9398 VISCOUNT BLVD",
            "address_2": "SUITE 3A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799258056",
            "telephone_number": "915-595-3333",
            "fax_number": "915-595-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "ANTONIO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "625529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesam Soliman
• Jonathan Solis Ramirez, MD
• Abigail Esparza Solis
• Andrew Solis
• Angela Maria Solis, MS, BCBA, LBA
• Bertha Solis
• Christian Solis
• Cindy Solis
• Fredy Mora Solis
• Guillermina Solis, N.P.

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.