DR. BRANDY L EGAN SOLOMON (NPI# 1124371844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124371844 |
| Entity Type | Individual |
| Full Name | DR. BRANDY L EGAN SOLOMON |
| Credential | DDS, MSD |
| Practice Address |
6543 Montecito Blvd Santa Rosa CA 95409-2928 |
| Mailing Address |
1729 Casita Ct Santa Rosa CA 95409-3903 |
| Practice Telephone | 7077917460 |
| Mailing Telephone | 7075265737 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
46585 | CA | Dental Providers |
| Street Address |
6543 MONTECITO BLVD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962681775 | Donald Q Streutker | Dentist | 6543 Montecito Blvd, Santa Rosa, CA 95409-2928 | 2007-10-29 |
| 1205017126 | Dawne Athanasia Streutker | Dentist | 6543 Montecito Blvd, Santa Rosa, CA 95409-2928 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1992957864 | Rael Ilan Bernstein | Dentist | 2245 Montgomery Dr, Santa Rosa, CA 95405-4900 | 2008-10-22 |
| 1609096387 | Don R Guest | Dentist | 1791 Marlow Rd, Suite 9, Santa Rosa, CA 95401-4151 | 2007-04-26 |
| 1952428195 | Frank J. Cercone | Dentist | 1880 Sonoma Ave, Santa Rosa, CA 95405-4953 | 2007-03-23 |
| 1295871515 | Donald Frederick Hull | Dentist | 4100 Montgomery Dr Ste B, Santa Rosa, CA 95405-5283 | 2007-01-30 |
| 1851452353 | Jae Sik Hur | Dentist | 4100 Montgomery Dr, Santa Rosa, CA 95405-5282 | 2006-12-12 |
| 1023013398 | Brian William Payne | Dentist | 36 Doctors Park Dr, Santa Rosa, CA 95405-6615 | 2005-06-14 |
| 1215383260 | Joseph L. Eliason, Dds, Msd, Apc | Dentist | 1880 Sonoma Ave, Santa Rosa, CA 95405-4953 | 2016-05-09 |
| 1215357892 | Joseph Eliason | Dentist | 1880 Sonoma Ave, Santa Rosa, CA 95405-4953 | 2014-04-22 |
| 1770821555 | Kiri Herchold | Dentist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2013-01-29 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.