Roberto Salazar, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

60887 Issued in CA

Practice address

365 S Rancho Santa Fe Rd Ste 105
San Marcos, CA 92078-2338

Phone

(760) 736-9200

NPI assigned

Sep 20, 2011

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DLR Salazar DDS Inc.

  dba Escondido Family Dental and Implants

  • General Practice Dentistry
  • Escondido, CA
  • NPI 1649842691
  Medicare reassignment NPD Authorized official
• Roberto Salazar Dental Corporation

  dba North Coast Dental

  • General Practice Dentistry
  • San Marcos, CA
  • NPI 1104549203
  NPD Authorized official
• Roberto Salazar Dental Corporation

  dba North Coast Family Dental

  • Dental Clinic/Center
  • San Marcos, CA
  • NPI 1932722519
  Authorized official Same address or phone
• Hung H Nguyen DDS Inc

  • General Practice Dentistry
  • Escondido, CA
  • NPI 1629109657
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1063795797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 S RANCHO SANTA FE RD STE 105",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782338",
            "telephone_number": "760-736-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 S RANCHO SANTA FE RD STE 105",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782338",
            "telephone_number": "760-736-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60887",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "60887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahawneh Dental Corporation (Bright Now Dental - San Marcos)
• Amy Sakaue, OTR
• Omar Salamanca, M.D.
• Maricela Salas, RN
• Claudia Belen Medina Salazar, PA-S
• Armando Saldana
• Karina Saldivar
• Farzaneh Salehi, NP
• Anamaria Salluce
• Yasaman Samanian

• Oral and Maxillofacial Surgery (Dentist) in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.