Stephanie Solberg, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

058979 Issued in NY

Practice address

36 Thomas Indian School Dr
Irving, NY 14081-9300

Phone

(716) 532-0165

NPI assigned

Apr 1, 2015

Last updated

May 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seneca Nation of Indians

  • Federally Qualified Health Center (FQHC)
  • Salamanca, NY
  • NPI 1023033511
  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1881089340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 THOMAS INDIAN SCHOOL DR",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819300",
            "telephone_number": "716-532-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 THOMAS INDIAN SCHOOL DR",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819300",
            "telephone_number": "716-532-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLBERG",
        "first_name": "STEPHANIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.24804",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Sharma, MD
• Vishal Sharma, M.D.
• Janice Ren Shaver, OPTICIAN
• Sidney Emergency Physicians LLC
• Jonathan M Sipior, DDS
• Charles R Spicola, RPH
• Shelley Dawn Steeprock, FNP
• Shavonne N Stevens
• Howard L Stoll, MD
• Eric Christopher Sturm, R.PH.

• Dentist in Irving, NY
• Providers in Irving, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.