Organization Active NPI

Solarsmiles Dental Corporation

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1730485368
Registry record updated Nov 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21722 Issued in TX
Legal business name
SOLARSMILES DENTAL CORPORATION
Practice address
5159 Wichita St Ste 170
Fort Worth, TX 76119-5686
Phone
(817) 840-6430
Fax
(817) 840-6431
NPI assigned
Jan 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2015

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

Authorized official

Name
Dr. Sania Khatib, D.D.S.
Title
Chief Medical Officer
Phone
(817) 840-6430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21722 TX Primary

Addresses

Primary practice location

5159 Wichita St Ste 170
Fort Worth, TX 76119-5686

Mailing address

5159 Wichita St Ste 170
Fort Worth, TX 76119-5686
Phone (817) 840-6430

Other names 1

  • SOLARSMILES DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

5159 Wichita St
Ste 170
Fort Worth, TX 76119
Phone (682) 326-0186

NPI Registry JSON

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448064000000",
    "number": "1730485368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5159 WICHITA ST STE 170",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761195686",
            "telephone_number": "817-840-6430",
            "fax_number": "817-840-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5159 WICHITA ST STE 170",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761195686",
            "telephone_number": "817-840-6430",
            "fax_number": "817-840-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARSMILES DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-29",
        "last_updated": "2015-11-21",
        "status": "A",
        "authorized_official_last_name": "KHATIB",
        "authorized_official_first_name": "SANIA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "817-840-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOLARSMILES DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2015; 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.