Active NPI
Jennifer Brooke Salazar, RDH
- Dental Hygienist
- Bernalillo, NM
National Provider Identifier
1104350081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH2952
- Practice address
- 1500 Idalia
Bernalillo, NM 87004-6303 - Phone
- (505) 404-5894
- Fax
- (505) 771-9451
- NPI assigned
- Apr 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH2952 | NM | Primary |
Addresses
Primary practice location
1500 Idalia
Bernalillo, NM 87004-6303
Mailing address
1500 Idalia
Bernalillo, NM 87004-6303
Phone (505) 404-5894
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH2952 | NM | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1104350081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 IDALIA",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "870046303",
"telephone_number": "505-404-5894",
"fax_number": "505-771-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 IDALIA",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "870046303",
"telephone_number": "505-404-5894",
"fax_number": "505-771-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "JENNIFER",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-17",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NM",
"license": "DH2952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bernalillo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.