Active NPI
Jonathan Manuel Salinas, DDS
- Pediatric Dentistry
- Murfreesboro, TN
National Provider Identifier
1225550965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12069
- Practice address
- 277 Veterans Pkwy Ste a
Murfreesboro, TN 37128-1077 - Phone
- (615) 713-1993
- Fax
- (610) 884-6296
- NPI assigned
- Jul 14, 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 151147 | NC | |
| Pediatric Dentistry | 1223P0221X | 12069 | TN | Primary |
Addresses
Primary practice location
277 Veterans Pkwy Ste a
Murfreesboro, TN 37128-1077
Mailing address
277 Veterans Pkwy Ste a
Murfreesboro, TN 37128-1077
Phone (404) 245-5531
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151147 | NC | MD | Pediatric Dentist |
| 12069 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spark Dental TN, PLLC | Pediatric Dentistry | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cumberland Pediatric Dentistry
- Orthodontics and Dentofacial Orthopedics Dentistry
- Smyrna, TN
- NPI 1154087120
Pediatric Dentistry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1225550965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 VETERANS PKWY STE A",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371281077",
"telephone_number": "404-245-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 VETERANS PKWY STE A",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371281077",
"telephone_number": "615-713-1993",
"fax_number": "610-884-6296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALINAS",
"first_name": "JONATHAN",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-14",
"last_updated": "2024-08-08",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "151147",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "12069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.