Active NPI
Lisa Ann Soltani, RDH
- Dental Hygienist
- Elizabeth City, NC
National Provider Identifier
1760015820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 12446
- Practice address
- 1664 Weeksville Rd BLDG 128
Elizabeth City, NC 27909-6701 - Phone
- (252) 335-6460
- Fax
- (252) 335-6255
- NPI assigned
- Feb 18, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 12446 | ND | Primary |
Addresses
Primary practice location
1664 Weeksville Rd BLDG 128
Elizabeth City, NC 27909-6701
Mailing address
108 William Dr
Elizabeth City, NC 27909-9457
Phone (775) 287-1717
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12446 | ND | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1760015820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 WILLIAM DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279099457",
"telephone_number": "775-287-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 WEEKSVILLE RD BLDG 128",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279096701",
"telephone_number": "252-335-6460",
"fax_number": "252-335-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLTANI",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ND",
"license": "12446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.