Active NPI
Roxana April Salem, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1316394257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100232
- Practice address
- 10655 Wilshire Blvd Apt 405
Los Angeles, CA 90024-4546 - Phone
- (310) 349-7182
- NPI assigned
- May 20, 2016
- Sex
- Female
- 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 | 100232 | CA | Primary |
Addresses
Primary practice location
10655 Wilshire Blvd Apt 405
Los Angeles, CA 90024-4546
Mailing address
10655 Wilshire Blvd Apt 405
Los Angeles, CA 90024-4546
Phone (310) 349-7182
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 |
|---|---|---|---|
| 100232 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Dentistry PC | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Long Beach, CA
- NPI 1104301803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1316394257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10655 WILSHIRE BLVD APT 405",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244546",
"telephone_number": "310-349-7182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10655 WILSHIRE BLVD APT 405",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244546",
"telephone_number": "310-349-7182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEM",
"first_name": "ROXANA",
"middle_name": "APRIL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.