Individual provider Active NPI

Alan D. Solowsky, D.D.S.

  • Periodontics
  • Newton Centre, MA
National Provider Identifier
1861514291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
12239 Issued in MA
Practice address
118 Meadowbrook Rd
Newton Centre, MA 02459-3048
Phone
(617) 965-1288
Fax
(617) 965-1287
NPI assigned
Apr 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 12239 MA Primary

Addresses

Primary practice location

118 Meadowbrook Rd
Newton Centre, MA 02459-3048

Mailing address

118 Meadowbrook Rd
Newton Centre, MA 02459-3048
Phone (617) 965-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407001757 MA Order and Referring Only - DentistPractitioner - Dentist 1759609563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12239MAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861514291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MEADOWBROOK RD",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024593048",
            "telephone_number": "617-965-1288",
            "fax_number": "617-965-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MEADOWBROOK RD",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024593048",
            "telephone_number": "617-965-1288",
            "fax_number": "617-965-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOWSKY",
        "first_name": "ALAN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "12239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Centre, MA

Sources for this page

Verify at the official NPI Registry.