Individual provider Active NPI

Petteri Tapani Salo, DDS

  • General Practice Dentistry
  • Pittsboro, NC
National Provider Identifier
1114666930
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12734 Issued in NC
Practice address
360 West St Ste 100
Pittsboro, NC 27312-9448
Phone
(919) 542-2712
NPI assigned
May 31, 2022
Last updated
May 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12734 NC Primary

Addresses

Primary practice location

360 West St Ste 100
Pittsboro, NC 27312-9448

Mailing address

360 West St Ste 100
Pittsboro, NC 27312-9448

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

LicenseStateTypeSpecialty
12734NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura a Collatz, DDS PA General Practice CurrentSince Apr 9, 2023 Accepting new patients
Eric Steinbicker, DDS, PA PastSince Jun 1, 2022 Accepting new patients

Locations

360 West St
#100
Pittsboro, NC 27312
Phone (919) 542-2712

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1114666930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WEST ST STE 100",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 WEST ST STE 100",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129448",
            "telephone_number": "919-542-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALO",
        "first_name": "PETTERI",
        "middle_name": "TAPANI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.