Individual provider Active NPI

Ted W. Solari, M.D.

  • Pediatrics Physician
  • Beckley, WV
National Provider Identifier
1720018922
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15471 Issued in WV
Practice address
230 George St
Suite 4
Beckley, WV 25801-2620
Phone
(304) 252-9227
Fax
(304) 252-0454
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15471 WV Primary

Addresses

Primary practice location

230 George St
Suite 4
Beckley, WV 25801-2620

Mailing address

230 George St
Suite 4
Beckley, WV 25801-2620
Phone (304) 252-9227

Other identifiers 1

IdentifierTypeStateIssuer
0106288000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15471WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in OB GYN, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: teddy.solari.1@14333.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720018922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "address_2": "SUITE 4",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012620",
            "telephone_number": "304-252-9227",
            "fax_number": "304-252-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "address_2": "SUITE 4",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012620",
            "telephone_number": "304-252-9227",
            "fax_number": "304-252-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLARI",
        "first_name": "TED",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "15471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106288000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.