Individual provider Active NPI

Dora Linda Salazar, M.D.

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1013064880
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8393 Issued in TX
Practice address
3303 Northland Dr.
Suite 220
Austin, TX 78731-4955
Phone
(512) 476-0275
Fax
(512) 476-0284
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G8393 TX Primary

Addresses

Primary practice location

3303 Northland Dr.
Suite 220
Austin, TX 78731-4955

Mailing address

3303 Northland Dr.
Suite 220
Austin, TX 78731-4955
Phone (512) 476-0275

Other identifiers 2

IdentifierTypeStateIssuer
1340986-06MedicaidTX
742688030OtherTXFEDERAL TAX NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090216000151 TX Practitioner - Family Practice 3971663766 Practice locations: Austin, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3303 Northland Dr
Suite 220
Austin, TX 78731-4955
Phone (512) 476-0275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1013064880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 NORTHLAND DR.",
            "address_2": "SUITE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314955",
            "telephone_number": "512-476-0275",
            "fax_number": "512-476-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 NORTHLAND DR.",
            "address_2": "SUITE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314955",
            "telephone_number": "512-476-0275",
            "fax_number": "512-476-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "DORA",
        "middle_name": "LINDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1340986-06",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX NUMBER",
            "identifier": "742688030",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.