NPIMap

Organization Active NPI

Soltani Dental Corporation

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1902334956
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54307 Issued in CA
Legal business name
SOLTANI DENTAL CORPORATION
Practice address
760 La Playa St
San Francisco, CA 94121-3262
Phone
(415) 221-5592
Fax
(415) 221-8826
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Sam Soltani, DDSNPI 1700038643
Title
Dentist/President
Phone
(707) 567-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54307 CA Primary

Addresses

Primary practice location

760 La Playa St
San Francisco, CA 94121-3262

Mailing address

760 La Playa St
San Francisco, CA 94121-3262
Phone (415) 221-5592

Other identifiers 1

IdentifierTypeStateIssuer
54307OtherCADENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

760 La Playa St
San Francisco, CA 94121
Phone (415) 221-5592

Practitioners & affiliated clinicians

Practitioners 6

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": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902334956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 LA PLAYA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213262",
            "telephone_number": "415-221-5592",
            "fax_number": "415-221-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 LA PLAYA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213262",
            "telephone_number": "415-221-5592",
            "fax_number": "415-221-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLTANI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SOLTANI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "707-567-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "54307",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.