Individual provider Active NPI

Robert James Salamon, D.C.

  • Chiropractor
  • N Charleston, SC
National Provider Identifier
1053369736
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2506 Issued in SC
Practice address
8988 University Blvd
Ste 104
N. Charleston, SC 29406
Phone
(843) 553-9383
Fax
(843) 553-9477
NPI assigned
May 4, 2006
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2506 SC
Chiropractor 111N00000X CH2506 SC Primary

Addresses

Primary practice location

8988 University Blvd
Ste 104
N. Charleston, SC 29406

Mailing address

8988 University Blvd
Ste 104
N. Charleston, SC 29406
Phone (843) 553-9383

Other identifiers 1

IdentifierTypeStateIssuer
CH2506MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000063 SC Practitioner - Chiropractic 4688634819 Practice locations: N Charleston, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2506SCMDChiropractor
CH2506SCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1053369736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8988 UNIVERSITY BLVD",
            "address_2": "STE 104",
            "city": "N. CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-553-9383",
            "fax_number": "843-553-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8988 UNIVERSITY BLVD",
            "address_2": "STE 104",
            "city": "N. CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-553-9383",
            "fax_number": "843-553-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMON",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2506",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "CH2506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2506",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.