Organization Active NPI

Martin E Salm MD LTD

  • Dermatology Physician
  • Stateline, NV
National Provider Identifier
1063595924
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
6357 Issued in NV
Legal business name
MARTIN E SALM MD LTD
Practice address
276 Kingsbury Grade, Suite 101
Stateline, NV 89449-5910
Phone
(775) 588-5000
Fax
(775) 588-5001
NPI assigned
Oct 23, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Martin E. Salm, M.D.NPI 1518152420
Title
President / Owner
Phone
(775) 588-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 6357 NV Primary
MOHS-Micrographic Surgery Physician 207ND0101X 6357 NV
Dermatopathology Physician 207ND0900X 6357 NV
Procedural Dermatology Physician 207NS0135X 6357 NV

Addresses

Primary practice location

276 Kingsbury Grade, Suite 101
Stateline, NV 89449-5910

Mailing address

276 Kingsbury Grade, Suite 101
P.O. Box 5910
Stateline, NV 89449-5910
Phone (775) 588-5000

Other identifiers 1

IdentifierTypeStateIssuer
002003058MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060406000693 NV Part B Supplier - Clinic/Group Practice 0941219620 Receives reassigned benefits from 6 practitioners
Practice locations: Stateline, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1063595924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 KINGSBURY GRADE, SUITE 101",
            "address_2": "P.O. BOX 5910",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "894495910",
            "telephone_number": "775-588-5000",
            "fax_number": "775-588-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 KINGSBURY GRADE, SUITE 101",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "894495910",
            "telephone_number": "775-588-5000",
            "fax_number": "775-588-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN E SALM MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "SALM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "775-588-5000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "6357",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NV",
            "license": "6357",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NV",
            "license": "6357",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NV",
            "license": "6357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002003058",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stateline, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.