Individual provider Active NPI

Frank J Soltysiak Jr., DDS

  • Dentist
  • Chagrin Falls, OH
National Provider Identifier
1639120405
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14863 Issued in OH
Practice address
41 N Main St
Ste 301
Chagrin Falls, OH 44022-3016
Phone
(440) 247-7788
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14863 OH Primary

Addresses

Primary practice location

41 N Main St
Ste 301
Chagrin Falls, OH 44022-3016

Mailing address

41 N Main St
Ste 301
Chagrin Falls, OH 44022-3016
Phone (440) 247-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20150323000608 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325365851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14863OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639120405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N MAIN ST",
            "address_2": "STE 301",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223016",
            "telephone_number": "440-247-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N MAIN ST",
            "address_2": "STE 301",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223016",
            "telephone_number": "440-247-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTYSIAK",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "14863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

Verify at the official NPI Registry.