NPIMap

Organization Active NPI

Salama & Alkhalayleh Dental Corp

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1124354279
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47836 Issued in CA
Legal business name
SALAMA & ALKHALAYLEH DENTAL CORP
Practice address
201 China Grade Loop
Bakersfield, CA 93308-1707
Phone
(661) 393-4333
Fax
(661) 393-4343
NPI assigned
Oct 26, 2009
Organization subpart
Yes
Parent organization
SALAMA & ALKHALAYLEH DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Wasfi Fouad Salama, DDS
Title
President
Phone
(661) 366-6527

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 40854 CA
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 53513 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 52464 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 47836 CA Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 50071 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 55221 CA
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 53917 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
Part of
Salama Al-Khalayleh Dental Corporation

Other organizations with this tax ID 3

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

Locations

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1124354279",
    "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 & ALKHALAYLEH DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALAMA & ALKHALAYLEH DENTAL CORP",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "WASFI",
        "authorized_official_middle_name": "FOUAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-366-6527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40854",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "53513",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52464",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47836",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "50071",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "55221",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53917",
            "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 Oct 26, 2009; 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.