Individual provider Active NPI

Trang Salzberg, DDS

  • Periodontics
  • Vienna, VA
National Provider Identifier
1073536306
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
04014110596 Issued in VA
Practice address
243 Church St NW Ste 200a
Vienna, VA 22180-4434
Phone
(703) 938-6022
Fax
(703) 938-6039
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 04014110596 VA Primary

Addresses

Primary practice location

243 Church St NW Ste 200a
Vienna, VA 22180-4434

Mailing address

243 Church St NW Ste 200a
Vienna, VA 22180-4434
Phone (703) 938-6022

Other practice location 1

477 Viking Dr
suite 190
Virginia Beach, VA 23452-7349
Phone (757) 486-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 26, 2024 through Feb 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04014110596VAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Konikoff Periodontics LTD Periodontics Past Accepting new patients

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1073536306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHURCH ST NW STE 200A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804434",
            "telephone_number": "703-938-6022",
            "fax_number": "703-938-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHURCH ST NW STE 200A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804434",
            "telephone_number": "703-938-6022",
            "fax_number": "703-938-6039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 Viking Dr",
            "address_2": "suite 190",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527349",
            "country_code": "US",
            "telephone_number": "757-486-8181",
            "fax_number": "757-463-0148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALZBERG",
        "first_name": "TRANG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "04014110596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.