NPIMap

Organization Active NPI

Donald J. Soltero, DDS

  • Dentist
  • Bellevue, WA
National Provider Identifier
1629216809
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4255 Issued in WA
Legal business name
DONALD J. SOLTERO, DDS
Practice address
188 106TH Ave NE
#410
Bellevue, WA 98004
Phone
(425) 454-2005
Fax
(425) 454-1360
NPI assigned
Jan 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Dr. Donald John Soltero, D.D.S.
Title
Dentist
Phone
(425) 454-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4255 WA Primary

Addresses

Primary practice location

188 106TH Ave NE
#410
Bellevue, WA 98004

Mailing address

188 106TH Ave NE
#410
Bellevue, WA 98004
Phone (425) 454-2005

Other identifiers 2

IdentifierTypeStateIssuer
S00522OtherWAREGENCE BCBS
7499OtherWADELTA

National Provider Directory

National Provider Directory

Locations

188 106th Ave NE
Ste 410
Bellevue, WA 98004
Phone (425) 454-2005

Practitioners & affiliated clinicians

Practitioners 2

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": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1629216809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 106TH AVE NE",
            "address_2": "#410",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-2005",
            "fax_number": "425-454-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 106TH AVE NE",
            "address_2": "#410",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-2005",
            "fax_number": "425-454-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. SOLTERO, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "SOLTERO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-454-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "4255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "S00522",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "7499",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.