Individual provider Active NPI

Nikolaos Soldatos, DDS, MSD, PHD

  • Periodontics
  • Houston, TX
National Provider Identifier
1740663590
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
31731 Issued in TX
Practice address
7500 Cambridge St Ste 6470
Houston, TX 77054
Phone
(713) 486-4444
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 31731 TX Primary

Addresses

Primary practice location

7500 Cambridge St Ste 6470
Houston, TX 77054

Mailing address

7500 Cambridge St Ste 6470
Houston, TX 77054-2032
Phone (713) 486-4444

Other identifiers 1

IdentifierTypeStateIssuer
N/AOtherI WILL HAVE MEDCAID UNDER UNIVERSITY OF COLORADO, SCHOOL OF DENTAL MEDICINE

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 Philosophy

State licenses

LicenseStateTypeSpecialty
31731TXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1740663590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 CAMBRIDGE ST STE 6470",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542032",
            "telephone_number": "713-486-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CAMBRIDGE ST STE 6470",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-486-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLDATOS",
        "first_name": "NIKOLAOS",
        "name_prefix": "Prof.",
        "credential": "DDS, MSD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "31731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I WILL HAVE MEDCAID UNDER UNIVERSITY OF COLORADO, SCHOOL OF DENTAL MEDICINE",
            "identifier": "N/A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.