Organization Active NPI

Mohamed Soliman Dental Corp

  • Dentist
  • Elk Grove, CA
National Provider Identifier
1649522830
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52002 Issued in CA
Legal business name
MOHAMED SOLIMAN DENTAL CORP
Practice address
5309 Iris Spring Way
Elk Grove, CA 95757-3302
Phone
(916) 479-2447
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mohamed Abdelkawy Soliman, DDSNPI 1023132354
Title
President
Phone
(916) 479-2447

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 52002 CA Primary

Addresses

Primary practice location

5309 Iris Spring Way
Elk Grove, CA 95757-3302

Mailing address

9015 Bruceville Rd Ste 130
Elk Grove, CA 95758-5958
Phone (916) 479-2447

National Provider Directory

National Provider Directory

Locations

9015 Bruceville Rd
Ste 130
Elk Grove, CA 95758
Phone (915) 683-5732

Practitioners & affiliated clinicians

Practitioners 1

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": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1649522830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 BRUCEVILLE RD STE 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585958",
            "telephone_number": "916-479-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 IRIS SPRING WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573302",
            "telephone_number": "916-479-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED SOLIMAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ABDELKAWY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-479-2447",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.