Individual provider Active NPI

Deside G Salinas, M.A., CCC/SLP

  • Speech-Language Pathologist
  • McAllen, TX
National Provider Identifier
1083809925
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100166 Issued in TX
Practice address
10316 N 24TH St
McAllen, TX 78504-6318
Phone
(956) 279-3500
Fax
(956) 683-6174
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100166 TX Primary

Addresses

Primary practice location

10316 N 24TH St
McAllen, TX 78504-6318

Mailing address

10316 N 24TH St
McAllen, TX 78504-6318
Phone (956) 279-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
100166TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1083809925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 N 24TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046318",
            "telephone_number": "956-279-3500",
            "fax_number": "956-683-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 N 24TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046318",
            "telephone_number": "956-279-3500",
            "fax_number": "956-683-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINAS",
        "first_name": "DESIDE",
        "middle_name": "G",
        "credential": "M.A., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.