DR. SOLOMON T WOLDESILASSIE DDS
NPI 1710095799
Dentist in Phoenix, AZ

Q: What is Solomon Woldesilassie's NPI number?

The NPI number for Solomon Woldesilassie is 1710095799. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Solomon Woldesilassie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 29, 2006PECOS Enrolled

26224 N TATUM BLVD, SUIT # 10, PHOENIX, AZ 85050(480) 563-4173(480) 563-5019 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Solomon T Woldesilassie Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOLOMON T WOLDESILASSIE DDS (NPI 1710095799) is an individual dentist in Phoenix, Arizona, licensed in Arizona (5068) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710095799

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SOLOMON T WOLDESILASSIECredential: DDS

Location Address26224 N TATUM BLVD, SUIT # 10Phoenix, AZ 85050-7500

Mailing Address26224 N Tatum Blvd, Suit # 10Phoenix, AZ 85050-7500 · (480) 563-4173 · Fax (480) 563-5019

Phone(480) 563-4173

Fax(480) 563-5019

Sole ProprietorNo

Enumeration DateAugust 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710095799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · 5068

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

26224 N TATUM BLVD, Phoenix, AZ 85050

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Other Identifiers 4

OtherAZ0499860AZ · Bcbs Of Az

Other5005068AZ · Delta Of Az

Other694548AZ · Mercy Care (ahcccs)

Other700534AZ · United Concordia

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Solomon T Woldesilassie Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AZ CHILDREN'S DENTAL CARE PLLC

Dentist (Pediatric Dentistry)

26224 N TATUM BLVD, STE 12
PHOENIX, AZ 85050

Maricopa County (480) 284-5076

DESERT VIEW FAMILY PRACTICE INC

Family Medicine

26224 N TATUM BLVD, SUITE 5
PHOENIX, AZ 85050

Maricopa County (602) 923-5975

DESERT SUN PEDIATRICS PC

Pediatrics

26224 N TATUM BLVD, SUITE 1
PHOENIX, AZ 85050

Maricopa County (480) 563-1111

TATUM HIGHLANDS MEDICAL ASSOCIATES PLC

Clinic/Center (Primary Care)

26224 N TATUM BLVD, SUITE 15A
PHOENIX, AZ 85050

Maricopa County (480) 663-9632

DR. ROYAL B. ANSPACH M.D.

Family Medicine

26224 N TATUM BLVD, #15A
PHOENIX, AZ 85050

Maricopa County (480) 663-9632

PAUL DAVID STRAUSS PA-C

Physician Assistant (Medical)

26224 N TATUM BLVD
PHOENIX, AZ 85050

Maricopa County (480) 663-9632

BENJAMIN VANDERSOMMEN FNP

Nurse Practitioner (Family)

26224 N TATUM BLVD
PHOENIX, AZ 85050

Maricopa County (480) 663-9632

NANCY HORLICK M.D.

Pediatrics

26224 N TATUM BLVD, SUITE 1
PHOENIX, AZ 85050

Maricopa County (480) 563-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Solomon Woldesilassie's NPI number?

The NPI number for Solomon Woldesilassie is 1710095799. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Solomon Woldesilassie located?

Solomon Woldesilassie practices at 26224 N Tatum Blvd Suit # 10, Phoenix, AZ 85050. The listed phone number is (480) 563-4173.

What is Solomon Woldesilassie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Solomon Woldesilassie enrolled in Medicare?

Yes. Solomon Woldesilassie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Solomon Woldesilassie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.