Active NPI
Adam Saltz, DMD, MS, MPH
- Periodontics
- South Portland, ME
National Provider Identifier
1205351699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DEN4824
- Practice address
- 254 Western Ave
South Portland, ME 04106-2410 - Phone
- (207) 774-5527
- Fax
- (207) 780-1188
- NPI assigned
- Aug 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DEN4824 | ME | Primary |
| Periodontics | 1223P0300X | DN22869 | FL |
Addresses
Primary practice location
254 Western Ave
South Portland, ME 04106-2410
Mailing address
254 Western Ave
South Portland, ME 04106-2410
Phone (207) 774-5527
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22869 | FL | MD | Periodontist |
| DEN4824 | ME | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1205351699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 WESTERN AVE",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062410",
"telephone_number": "207-774-5527",
"fax_number": "207-780-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 WESTERN AVE",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062410",
"telephone_number": "207-774-5527",
"fax_number": "207-780-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALTZ",
"first_name": "ADAM",
"credential": "DMD, MS, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "ME",
"license": "DEN4824",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN22869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.