Individual provider Active NPI

Steven Salzman, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1205058013
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.015517 Issued in IL
Practice address
6444 W Belmont Ave
Unit a
Chicago, IL 60634-4189
Phone
(773) 777-6788
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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 019.015517 IL Primary

Addresses

Primary practice location

6444 W Belmont Ave
Unit a
Chicago, IL 60634-4189

Mailing address

6444 W Belmont Ave
Unit a
Chicago, IL 60634-4189
Phone (773) 777-6788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150513000340 IL Order and Referring Only - Other (Non-Physician) 3870813975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.015517ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1205058013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 W BELMONT AVE",
            "address_2": "UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344189",
            "telephone_number": "773-777-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 W BELMONT AVE",
            "address_2": "UNIT A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344189",
            "telephone_number": "773-777-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZMAN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.015517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.