Active NPI
Mohsen Solhjoo, DMD
- Dentist
- Waterbury, CT
National Provider Identifier
1710080353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8411
- Practice address
- 186 Highland Ave
Waterbury, CT 06708 - Phone
- (203) 596-9900
- Fax
- (203) 596-1279
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8411 | CT | Primary |
Addresses
Primary practice location
186 Highland Ave
Waterbury, CT 06708
Mailing address
186 Highland Ave
Waterbury, CT 06708
Phone (203) 596-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150427001127 | CT | Order and Referring Only - Dentist | 0941529838 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8411 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710080353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 HIGHLAND AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-596-9900",
"fax_number": "203-596-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 HIGHLAND AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-596-9900",
"fax_number": "203-596-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLHJOO",
"first_name": "MOHSEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "8411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.