NPIMap

Organization Active NPI

Waleed Soliman Dental Corp

  • Dentist
  • Stockton, CA
National Provider Identifier
1851419980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46138 Issued in CA
Legal business name
WALEED SOLIMAN DENTAL CORP
Practice address
4661 Precissi LN
Suite a
Stockton, CA 95207-6222
Phone
(209) 478-7221
Fax
(209) 478-7297
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Waleed Soliman
Title
Owner
Phone
(209) 478-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46138 CA Primary

Addresses

Primary practice location

4661 Precissi LN
Suite a
Stockton, CA 95207-6222

Mailing address

4661 Precissi LN
Suite a
Stockton, CA 95207-6222
Phone (209) 478-7221

Other identifiers 1

IdentifierTypeStateIssuer
G92497 01MedicaidCA

Other names 1

  • Brite Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brite Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4661 Precissi Ln
Ste A
Stockton, CA 95207
Phone (209) 478-7221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851419980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 PRECISSI LN",
            "address_2": "SUITE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076222",
            "telephone_number": "209-478-7221",
            "fax_number": "209-478-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4661 PRECISSI LN",
            "address_2": "SUITE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076222",
            "telephone_number": "209-478-7221",
            "fax_number": "209-478-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALEED SOLIMAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "WALEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-478-7221",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G92497 01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brite Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.