Active NPI
Carl D Solomon, DPM
- Podiatrist
- Dallas, TX
National Provider Identifier
1821077074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0411
- Practice address
- 3801 Gaston Ave
Suite 330
Dallas, TX 75246-1541 - Phone
- (214) 824-3851
- Fax
- (214) 824-3852
- NPI assigned
- Jan 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0411 | TX | Primary |
Addresses
Primary practice location
3801 Gaston Ave
Suite 330
Dallas, TX 75246-1541
Mailing address
3801 Gaston Ave
Suite 330
Dallas, TX 75246-1541
Phone (214) 824-3851
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00L474 | Other | TX | MEDICARE ID |
| 00831001 | Medicaid | TX |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph L Yeargain DPM PLLC | Past | Accepting new patients | |
| Joseph L Yeargain DPM PLLC | Podiatrist | 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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Dallas, TX
- NPI 1235513243
-
- Foot & Ankle Surgery Podiatrist
- Dallas, TX
- NPI 1588379952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1821077074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 GASTON AVE",
"address_2": "SUITE 330",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461541",
"telephone_number": "214-824-3851",
"fax_number": "214-824-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 GASTON AVE",
"address_2": "SUITE 330",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461541",
"telephone_number": "214-824-3851",
"fax_number": "214-824-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "CARL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-14",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "0411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "00L474",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00831001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.