Organization Active NPI

Solmaz Behtash, D.O., LLC

  • Clinic/Center
  • Pawtucket, RI
National Provider Identifier
1831431857
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DO 630 Issued in RI
Legal business name
SOLMAZ BEHTASH, D.O., LLC
Practice address
126 Prospect St
#101
Pawtucket, RI 02860-4476
Phone
(401) 365-4060
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Solmaz Behtash, D.O.
Title
Owner
Phone
(401) 365-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DO 630 RI Primary

Addresses

Primary practice location

126 Prospect St
#101
Pawtucket, RI 02860-4476

Mailing address

126 Prospect St
#101
Pawtucket, RI 02860-4476
Phone (401) 365-4060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1831431857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST",
            "address_2": "#101",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604476",
            "telephone_number": "401-365-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST",
            "address_2": "#101",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604476",
            "telephone_number": "401-365-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLMAZ BEHTASH, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "BEHTASH",
        "authorized_official_first_name": "SOLMAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-365-4060",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "RI",
            "license": "DO 630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.