Individual provider Active NPI

Beth A Salonek, D.D.S.

  • General Practice Dentistry
  • Chippewa Falls, WI
National Provider Identifier
1023184348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5354 Issued in WI
Practice address
235 W Prairie View Rd
Suite 1
Chippewa Falls, WI 54729-3639
Phone
(715) 720-9125
Fax
(715) 720-1475
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5354 WI Primary

Addresses

Primary practice location

235 W Prairie View Rd
Suite 1
Chippewa Falls, WI 54729-3639

Mailing address

235 W Prairie View Rd
Suite 1
Chippewa Falls, WI 54729-3639
Phone (715) 720-9125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160512000956 WI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0840589925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5354WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northpark Dental - Chippewa General Practice Past Accepting new patients
Northpark Dental LLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023184348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W PRAIRIE VIEW RD",
            "address_2": "SUITE 1",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293639",
            "telephone_number": "715-720-9125",
            "fax_number": "715-720-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W PRAIRIE VIEW RD",
            "address_2": "SUITE 1",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293639",
            "telephone_number": "715-720-9125",
            "fax_number": "715-720-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALONEK",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.