Individual provider Active NPI

David Salazar, NP

  • Acute Care Nurse Practitioner
  • Forney, TX
National Provider Identifier
1023775947
Registry record updated Nov 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1059107 Issued in TX
Practice address
11632 Nicole LN
Forney, TX 75126-7024
Phone
(214) 486-9820
NPI assigned
Nov 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1059107 TX Primary

Addresses

Primary practice location

11632 Nicole LN
Forney, TX 75126-7024

Mailing address

11632 Nicole LN
Forney, TX 75126-7024
Phone (214) 486-9820

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211220002338 TX Practitioner - Nurse Practitioner 6406247865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 676-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1059107TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio & Renal Therapeutics of North Texas PLLC CurrentSince Jan 1, 2023 Accepting new patients
Star Ed PLLC CurrentSince Dec 1, 2021 Accepting new patients
Questcare Hospitalists PLLC CurrentSince Jun 6, 2022 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jan 1, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jan 1, 2024 Accepting new patients
Integrity MD PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

9 Medical Pkwy
Dallas, TX 75234
Phone (972) 247-1000

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

4510 Medical Center Dr
Ste 202
McKinney, TX 75069
Phone (214) 547-7557

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

Organizations & group practices 6

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1023775947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11632 NICOLE LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751267024",
            "telephone_number": "214-486-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11632 NICOLE LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751267024",
            "telephone_number": "214-486-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "DAVID",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-27",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1059107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.