Capistrano Dental Partnership

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CAPISTRANO DENTAL PARTNERSHIP

Doing business as

Capistrano dental group

Practice address

32112 Camino Capistrano
San Juan Capistrano, CA 92675

Phone

(949) 487-3273

Fax

(949) 487-0322

NPI assigned

Dec 1, 2008

Last updated

Dec 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Khaled K. Soliman, DMD

Title

Partner

Phone

(949) 487-3273

Specialties & licenses 1

Addresses

Other names 1

• Capistrano dental group Doing business as

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1780839951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32112 CAMINO CAPISTRANO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-487-3273",
            "fax_number": "949-487-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32112 CAMINO CAPISTRANO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-487-3273",
            "fax_number": "949-487-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPISTRANO DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "949-487-3273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capistrano dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.