Active NPI
Garrett Solecki, DDS
- Dentist
- Durham, NC
National Provider Identifier
1730672635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11084
- Practice address
- 2700 S Miami Blvd
Durham, NC 27703-9416 - Phone
- (919) 598-9900
- NPI assigned
- Jun 14, 2018
- Last updated
- Jun 14, 2018
- 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 | 11084 | NC | Primary |
Addresses
Primary practice location
2700 S Miami Blvd
Durham, NC 27703-9416
Mailing address
188 Finsbury St
Durham, NC 27703-8205
Phone (847) 331-9251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20180807003751 | NC | Order and Referring Only - Dentist | 6204184260 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11084 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates VI DDS PA | Past | Accepting new patients | |
| Karen R. Bremer D.D.S., R.D.H. & Associates P.L.L.C | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Durham, NC
- NPI 1457523979
-
- General Practice Dentistry
- Durham, NC
- NPI 1295990406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1730672635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 FINSBURY ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277038205",
"telephone_number": "847-331-9251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 S MIAMI BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277039416",
"telephone_number": "919-598-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLECKI",
"first_name": "GARRETT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.