Individual provider Active NPI

Trevor Lenworth Salmon, DDS

  • General Practice Dentistry
  • Hyattsville, MD
National Provider Identifier
1275602757
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9136 Issued in MD
Practice address
6505 Belcrest Rd
Suite 105
Hyattsville, MD 20782-2011
Phone
(301) 559-5435
Fax
(301) 559-4393
NPI assigned
Nov 7, 2006
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16603 FL
General Practice Dentistry 1223G0001X 9136 MD Primary

Addresses

Primary practice location

6505 Belcrest Rd
Suite 105
Hyattsville, MD 20782-2011

Mailing address

6505 Belcrest Rd
Suite 105
Hyattsville, MD 20782-2011
Phone (301) 559-5435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527000504 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072833458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN16603FLMDGeneral Practice Dentistry
9136MDMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1275602757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 BELCREST RD",
            "address_2": "SUITE 105",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822011",
            "telephone_number": "301-559-5435",
            "fax_number": "301-559-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 BELCREST RD",
            "address_2": "SUITE 105",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822011",
            "telephone_number": "301-559-5435",
            "fax_number": "301-559-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "TREVOR",
        "middle_name": "LENWORTH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16603",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.