Nicholas Salava, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

61307 Issued in KS

Practice address

5100 Bob Billings Pkwy Ste 110
Lawrence, KS 66049

Phone

(785) 749-2943

NPI assigned

Sep 23, 2016

Reactivated

May 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 1, 2018 through May 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lawrence Dental Studio

  • General Practice Dentistry
  • Lawrence, KS
  • NPI 1588153472
  NPD (past) Authorized official
• Jospeh R. Gatti, DDS, PA

  • Dental Clinic/Center
  • Lawrence, KS
  • NPI 1215164504
  NPD (past)

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1164971875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BOB BILLINGS PKWY STE 110",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494094",
            "telephone_number": "785-749-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 BOB BILLINGS PKWY STE 110",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-749-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAVA",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2018-06-06",
        "deactivation_date": "2018-05-07",
        "reactivation_date": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Saenz, CMT LMT
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• Mari Sailors, LMSW
• Sarah Salamida
• Christina Marie Salazar, M.D.
• Juliet Salazar
• Luis Salazar, MD
• Sally McVey, LLC
• Jarred Salmans, PT, DPT

• Dentist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.