NPIMap

Organization Active NPI

Dr. Solis Dental Corporation

  • Preferred Provider Organization
  • Castaic, CA
National Provider Identifier
1902182793
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
43660 Issued in CA
Legal business name
DR. SOLIS DENTAL CORPORATION
Doing business as
Paradise Smile Dental
Practice address
29491 The Old Rd
Castaic, CA 91384-2902
Phone
(661) 257-9909
Fax
(661) 257-0008
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Rhonda Potts
Title
Office Manager
Phone
(661) 257-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 43660 CA Primary

Addresses

Primary practice location

29491 The Old Rd
Castaic, CA 91384-2902

Mailing address

29491 The Old Rd
Castaic, CA 91384-2902
Phone (661) 257-9909

Other names 1

  • Paradise Smile Dental Doing business as

National Provider Directory

National Provider Directory

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": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1902182793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29491 THE OLD RD",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913842902",
            "telephone_number": "661-257-9909",
            "fax_number": "661-257-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29491 THE OLD RD",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913842902",
            "telephone_number": "661-257-9909",
            "fax_number": "661-257-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SOLIS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-257-9909"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "43660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castaic, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.