Individual provider Active NPI

Thomas Galapon Salacup, D.M.D.

  • General Practice Dentistry
  • Vallejo, CA
National Provider Identifier
1164588455
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52923 Issued in CA
Practice address
1512 Napa St
Suite B
Vallejo, CA 94590-4416
Phone
(707) 645-1728
Fax
(707) 645-2087
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 52923 CA Primary

Addresses

Primary practice location

1512 Napa St
Suite B
Vallejo, CA 94590-4416

Mailing address

1512 Napa St.
Suite B
Vallejo, CA 94590
Phone (707) 645-1728

Other identifiers 1

IdentifierTypeStateIssuer
G94127-01OtherCADENTI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151027002017 CA Order and Referring Only - DentistPractitioner - Dentist 5395054621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Galapon Salacup DMD Inc General Practice CurrentSince Jan 26, 2020 Accepting new patients

Locations

1512 Napa St
#B
Vallejo, CA 94590
Phone (707) 645-1728

Interoperability endpoints

  • Direct secure messaging: tsalacup@direct.westerndental.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164588455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 NAPA ST.",
            "address_2": "SUITE B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94590",
            "telephone_number": "707-645-1728",
            "fax_number": "707-645-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 NAPA ST",
            "address_2": "SUITE B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904416",
            "telephone_number": "707-645-1728",
            "fax_number": "707-645-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALACUP",
        "first_name": "THOMAS",
        "middle_name": "GALAPON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G94127-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.