NPIMap

Organization Active NPI

Solis Family Dental PC

  • General Practice Dentistry
  • Moline, IL
National Provider Identifier
1629113279
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19025339 Issued in IL
Legal business name
SOLIS FAMILY DENTAL PC
Practice address
515 Valley View Drive
Suite 105
Moline, IL 61265
Phone
(309) 764-4944
Fax
(309) 764-4940
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Kevin SolisNPI 1871617548
Title
Owner
Phone
(309) 764-4944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19025339 IL Primary

Addresses

Primary practice location

515 Valley View Drive
Suite 105
Moline, IL 61265

Mailing address

515 Valley View Drive
Suite 105
Moline, IL 61265
Phone (309) 764-4944

Other names 1

  • Solis Dental Group Other name

National Provider Directory

National Provider Directory

Locations

515 Valley View Dr
Ste 105
Moline, IL 61265
Phone (309) 764-4944

Practitioners & affiliated clinicians

Practitioners 3

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1629113279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 VALLEY VIEW DRIVE",
            "address_2": "SUITE 105",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-764-4944",
            "fax_number": "309-764-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 VALLEY VIEW DRIVE",
            "address_2": "SUITE 105",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-764-4944",
            "fax_number": "309-764-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIS FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-764-4944"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19025339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solis Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.