Active NPI
Byron Otoniel Salguero, MA
- Addiction (Substance Use Disorder) Counselor
- Grandville, MI
National Provider Identifier
1003035445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 00000000
- Practice address
- 4230 Chaminade St SW
Grandville, MI 49418-2590 - Phone
- (616) 510-9027
- NPI assigned
- Apr 24, 2007
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00000000 | MI | Primary |
Addresses
Primary practice location
4230 Chaminade St SW
Grandville, MI 49418-2590
Mailing address
4230 Chaminade St SW
Grandville, MI 49418-2590
Phone (616) 510-9027
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000 | MI | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1003035445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 CHAMINADE ST SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182590",
"telephone_number": "616-510-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 CHAMINADE ST SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182590",
"telephone_number": "616-510-9027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALGUERO",
"first_name": "BYRON",
"middle_name": "OTONIEL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "00000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.