NPIMap

Organization Active NPI

Salama and Alkhalayleh Dental Corporation

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1093075970
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SALAMA AND ALKHALAYLEH DENTAL CORPORATION
Practice address
201 China Grade Loop
Bakersfield, CA 93308-1707
Phone
(661) 393-4333
Fax
(661) 393-4343
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Dr. Wasfi F Salama, DDS
Title
Owner
Phone
(661) 393-4333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X CA Primary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X CA

Addresses

Primary practice location

201 China Grade Loop
Bakersfield, CA 93308-1707

Mailing address

201 China Grade Loop
Bakersfield, CA 93308-1707
Phone (661) 393-4333

Other identifiers 1

IdentifierTypeStateIssuer
G94115-02MedicaidCA

Other names 1

  • Centennial Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Salama Al-Khalayleh Dental Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1093075970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHINA GRADE LOOP",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081707",
            "telephone_number": "661-393-4333",
            "fax_number": "661-393-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHINA GRADE LOOP",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081707",
            "telephone_number": "661-393-4333",
            "fax_number": "661-393-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAMA AND ALKHALAYLEH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "WASFI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-393-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G94115-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.