Active NPI
Diego Alonso Solis, DDS
- Pediatric Dentistry
- Columbus, OH
National Provider Identifier
1902999303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 71000178
- Practice address
- 2879 Johnstown Rd
Columbus, OH 43219 - Phone
- (614) 342-5795
- Fax
- (614) 642-5804
- NPI assigned
- Sep 30, 2006
- Last updated
- Apr 14, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 71000178 | OH | |
| Pediatric Dentistry | 1223P0221X | 71000178 | OH | Primary |
Addresses
Primary practice location
2879 Johnstown Rd
Columbus, OH 43219
Mailing address
2716 Scioto Station Dr
Columbus, OH 43204-3696
Phone (614) 477-6368
Other practice location 1
380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-5650
Other practice location 2
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2671087 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000178 | OH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nisonger Dental Program at Johnstown Road | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Columbus, OH
- NPI 1265749899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1902999303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 SCIOTO STATION DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432043696",
"telephone_number": "614-477-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2879 JOHNSTOWN RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43219",
"telephone_number": "614-342-5795",
"fax_number": "614-642-5804"
}
],
"practiceLocations": [
{
"address_1": "380 Butterfly Gardens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432157508",
"country_code": "US",
"telephone_number": "614-722-5650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Childrens Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432052664",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLIS",
"first_name": "DIEGO",
"middle_name": "ALONSO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-30",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "71000178",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "71000178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2671087",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.