Dominic Soller, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

49218 Issued in CA

Practice address

24261 Avenida de la Carlota Ste Q4
Laguna Hills, CA 92653-7633

Phone

(949) 951-7800

Fax

(949) 855-1237

NPI assigned

Feb 4, 2014

Last updated

Feb 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dominic Soller DDS Inc

  • Dentist
  • Laguna Hills, CA
  • NPI 1770776593
  Authorized official Same address or phone

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1639593163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24261 AVENIDA DE LA CARLOTA STE Q4",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537633",
            "telephone_number": "949-951-7800",
            "fax_number": "949-855-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24261 AVENIDA DE LA CARLOTA STE Q4",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537633",
            "telephone_number": "949-951-7800",
            "fax_number": "949-855-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLER",
        "first_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.