Active NPI
Jeffrey Sol He, DDS
- Dentist
- Dallas, TX
National Provider Identifier
1972096816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34208
- Practice address
- 2627 W Jefferson Blvd Ste 318
Dallas, TX 75211-2691 - Phone
- (214) 942-1060
- NPI assigned
- Jun 13, 2018
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 34208 | TX | Primary |
Addresses
Primary practice location
2627 W Jefferson Blvd Ste 318
Dallas, TX 75211-2691
Mailing address
1712 Faringdon Dr
Plano, TX 75075-2706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20240424000857 | TX | Order and Referring Only - Dentist | 9931548922 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Dental Associates, L.P. | Dentist | Past | Accepting new patients |
| Brident Dental Associates PC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Dallas, TX
- NPI 1255805354
-
- Dentist
- Dallas, TX
- NPI 1538385422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1972096816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 FARINGDON DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750752706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 W JEFFERSON BLVD STE 318",
"city": "DALLAS",
"state": "TX",
"postal_code": "752112691",
"telephone_number": "214-942-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HE",
"first_name": "JEFFREY",
"middle_name": "SOL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "34208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.