Active NPI
Eric Brett Salmonson, DDS
- Dentist
- Shoreham, NY
National Provider Identifier
1245672476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 047700-1
- Practice address
- 47 N. Country Rd.
Shoreham, NY 11786 - Phone
- (631) 744-0111
- Fax
- (631) 744-0321
- NPI assigned
- Jul 30, 2013
- Last updated
- Jul 30, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 047700-1 | NY | Primary |
Addresses
Primary practice location
47 N. Country Rd.
Shoreham, NY 11786
Mailing address
P.O. Box 849
47 N. Country Rd.,
Shoreham, NY 11786
Phone (631) 744-0111
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 |
|---|---|---|---|
| 047700-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1245672476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 849",
"address_2": "47 N. COUNTRY RD.,",
"city": "SHOREHAM",
"state": "NY",
"postal_code": "11786",
"telephone_number": "631-744-0111",
"fax_number": "631-744-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 N. COUNTRY RD.",
"city": "SHOREHAM",
"state": "NY",
"postal_code": "11786",
"telephone_number": "631-744-0111",
"fax_number": "631-744-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMONSON",
"first_name": "ERIC",
"middle_name": "BRETT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-30",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "047700-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.