Active NPI
Mohammad Hadi Soltani, D.D.S.
- Dentist
- Crockett, CA
National Provider Identifier
1992728398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 45411
- Practice address
- 1932 Vista del Rio
Crockett, CA 94525 - Phone
- (775) 771-1310
- NPI assigned
- Jul 26, 2006
- 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 | 45411 | CA | Primary |
Addresses
Primary practice location
1932 Vista del Rio
Crockett, CA 94525
Mailing address
1932 Vista del Rio
Crockett, CA 94525
Phone (775) 771-1310
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460512430 | Other | NV | BLUE CROSS |
| 460512430 | Other | NV | AETNA |
| 357 | Other | NV | UNITED CONCORDIA |
| 460512430 | Other | NV | CIGNA |
| 460512430 | Other | NV | BENEFIT PLANNERS |
| 460512430 | Other | NV | DELTA DENTAL |
| 460512430 | Other | NV | MET LIFE |
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 |
|---|---|---|---|
| 45411 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1992728398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 VISTA DEL RIO",
"city": "CROCKETT",
"state": "CA",
"postal_code": "94525",
"telephone_number": "775-771-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 VISTA DEL RIO",
"city": "CROCKETT",
"state": "CA",
"postal_code": "94525",
"telephone_number": "775-771-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLTANI",
"first_name": "MOHAMMAD",
"middle_name": "HADI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "45411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "460512430",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "460512430",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "357",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "460512430",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BENEFIT PLANNERS",
"identifier": "460512430",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "460512430",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MET LIFE",
"identifier": "460512430",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crockett, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.