Active NPI
Edward Solomon, DMD
- Endodontics
- Allentown, PA
National Provider Identifier
1952546640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS21130-L
- Practice address
- 2895 Hamilton Blvd
Suite 205
Allentown, PA 18104-6172 - Phone
- (610) 435-2303
- Fax
- (610) 435-2974
- NPI assigned
- Dec 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS21130-L | PA | Primary |
Addresses
Primary practice location
2895 Hamilton Blvd
Suite 205
Allentown, PA 18104-6172
Mailing address
515 Northwick LN
Villanova, PA 19085-1836
Phone (610) 525-8996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150618001096 | PA | Order and Referring Only - Dentist | 5193036051 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS21130-L | PA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1952546640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 NORTHWICK LN",
"city": "VILLANOVA",
"state": "PA",
"postal_code": "190851836",
"telephone_number": "610-525-8996",
"fax_number": "610-525-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2895 HAMILTON BLVD",
"address_2": "SUITE 205",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181046172",
"telephone_number": "610-435-2303",
"fax_number": "610-435-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-09",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS21130-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.