NPIMap

Organization Active NPI

Roger W Triftshauser DDS and Marlin S Salmon DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Batavia, NY
National Provider Identifier
1093916629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0233941 Issued in NY
Legal business name
ROGER W TRIFTSHAUSER DDS AND MARLIN S SALMON DDS PC
Practice address
5A Batavia City Centre
Batavia, NY 14020-2168
Phone
(585) 344-0775
Fax
(585) 344-2441
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marlin S Salmon, DDSNPI 1689822595
Title
V Pres Sec
Phone
(585) 344-0775

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 0233941 NY Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 0358471 NY

Addresses

Primary practice location

5A Batavia City Centre
Batavia, NY 14020-2168

Mailing address

5A Batavia City Centre
Batavia, NY 14020-2168
Phone (585) 344-0775

Other identifiers 2

IdentifierTypeStateIssuer
00627656MedicaidNY
00982292MedicaidNM

Other names 1

  • Brown Deeney Triftshauser DDS PC Other name

National Provider Directory

National Provider Directory

Locations

5A Batavia City Ctr
Batavia, NY 14020
Phone (585) 344-0775

Practitioners & affiliated clinicians

Practitioners 3

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093916629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A BATAVIA CITY CENTRE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202168",
            "telephone_number": "585-344-0775",
            "fax_number": "585-344-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A BATAVIA CITY CENTRE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202168",
            "telephone_number": "585-344-0775",
            "fax_number": "585-344-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER W TRIFTSHAUSER DDS AND MARLIN S SALMON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALMON",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "V PRES SEC",
        "authorized_official_telephone_number": "585-344-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "0233941",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "0358471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00627656",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00982292",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown Deeney Triftshauser DDS PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.