Active NPI
Felipe Salles, DDS, PHD
- Dentist
- Lithia, FL
National Provider Identifier
1003330416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22576
- Practice address
- 16627 Fishhawk Blvd Ste 102
Lithia, FL 33547-3800 - Phone
- (813) 681-6200
- NPI assigned
- Jul 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | DN22576 | FL | Primary |
Addresses
Primary practice location
16627 Fishhawk Blvd Ste 102
Lithia, FL 33547-3800
Mailing address
16627 Fishhawk Blvd Ste 102
Lithia, FL 33547-3800
Phone (813) 681-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20240203000384 | FL | Practitioner - Dentist | 8628411964 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22576 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- FL HMO D-SNP
- FL HMO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003330416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16627 FISHHAWK BLVD STE 102",
"city": "LITHIA",
"state": "FL",
"postal_code": "335473800",
"telephone_number": "813-681-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16627 FISHHAWK BLVD STE 102",
"city": "LITHIA",
"state": "FL",
"postal_code": "335473800",
"telephone_number": "813-681-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLES",
"first_name": "FELIPE",
"name_prefix": "Dr.",
"credential": "DDS, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.