Individual provider Active NPI

Guillermo J. Salazar, M.D.

  • Aerospace Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1164766358
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
J3894 Issued in TX
Practice address
2601 Meacham Blvd
Faa, Asw-300
Fort Worth, TX 76137-4204
Phone
(817) 222-5301
Fax
(817) 222-5965
NPI assigned
Nov 12, 2012
Last updated
Nov 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X J3894 TX Primary

Addresses

Primary practice location

2601 Meacham Blvd
Faa, Asw-300
Fort Worth, TX 76137-4204

Mailing address

2601 Meacham Blvd
Faa, Asw-300
Fort Worth, TX 76137-4204
Phone (817) 222-5301

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J3894TXMDAerospace Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1164766358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 MEACHAM BLVD",
            "address_2": "FAA, ASW-300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374204",
            "telephone_number": "817-222-5301",
            "fax_number": "817-222-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 MEACHAM BLVD",
            "address_2": "FAA, ASW-300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374204",
            "telephone_number": "817-222-5301",
            "fax_number": "817-222-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "GUILLERMO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "J3894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.