Individual provider Active NPI

Martin Ignacio Salgueiro, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Amarillo, TX
National Provider Identifier
1265654602
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
24944 Issued in TX
Practice address
1900 S Coulter St Ste J
Amarillo, TX 79106-1778
Phone
(806) 358-7066
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 24944 TX Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4208 WV

Addresses

Primary practice location

1900 S Coulter St Ste J
Amarillo, TX 79106-1778

Mailing address

1900 S Coulter St Ste J
Amarillo, TX 79106-1778
Phone (806) 358-7066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2021 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24944TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc Oral and Maxillofacial Surgery Past Accepting new patients
Au Surgery Center, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1265654602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S COULTER ST STE J",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061778",
            "telephone_number": "806-358-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S COULTER ST STE J",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061778",
            "telephone_number": "806-358-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGUEIRO",
        "first_name": "MARTIN",
        "middle_name": "IGNACIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "24944",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "4208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.