Active NPI
Chad Daniel Salomon, ATS
- Student in an Organized Health Care Education/Training Program
- Bloomington, IN
National Provider Identifier
1225574262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 81897
- Practice address
- 2036 N Walnut St
Apt A12
Bloomington, IN 47404-2465 - Phone
- (812) 267-8853
- NPI assigned
- Jan 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 81897 | IN | Primary |
Addresses
Primary practice location
2036 N Walnut St
Apt A12
Bloomington, IN 47404-2465
Mailing address
2036 N Walnut St
Apt A12
Bloomington, IN 47404-2465
Phone (812) 267-8853
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 |
|---|---|---|---|
| 81897 | IN | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484438400000",
"number": "1225574262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 N WALNUT ST",
"address_2": "APT A12",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474042465",
"telephone_number": "812-267-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 N WALNUT ST",
"address_2": "APT A12",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474042465",
"telephone_number": "812-267-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOMON",
"first_name": "CHAD",
"middle_name": "DANIEL",
"credential": "ATS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-15",
"last_updated": "2017-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "81897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.