Active NPI
Leila Soltani, DDS,MS.
- Periodontics
- Chicago, IL
National Provider Identifier
1871026062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 021002783
- Practice address
- 1210 S Indiana Ave Apt 3317
Chicago, IL 60605-2788 - Phone
- (312) 776-4414
- NPI assigned
- Apr 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | D10878 | OR | |
| Periodontics | 1223P0300X | 60804939 | WA | |
| Periodontics | 1223P0300X | 021002783 | IL | Primary |
Addresses
Primary practice location
1210 S Indiana Ave Apt 3317
Chicago, IL 60605-2788
Mailing address
1210 S Indiana Ave Apt 3317
Chicago, IL 60605-2788
Phone (127) 764-4143
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021002783 | IL | MD | Periodontist |
| D10878 | OR | MD | Periodontist |
| 60804939 | WA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1871026062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 S INDIANA AVE APT 3317",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052788",
"telephone_number": "127-764-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S INDIANA AVE APT 3317",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052788",
"telephone_number": "312-776-4414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLTANI",
"first_name": "LEILA",
"name_prefix": "Dr.",
"credential": "DDS,MS.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OR",
"license": "D10878",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "60804939",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": "021002783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.