Active NPI
Kent S. Salholm, D.C.
- Chiropractor
- Garden Grove, CA
National Provider Identifier
1356468532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC18626
- Practice address
- 12460 Euclid St
Suite 102
Garden Grove, CA 92840-3351 - Phone
- (714) 638-4852
- Fax
- (714) 638-4127
- NPI assigned
- Mar 23, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC18626 | CA | Primary |
Addresses
Primary practice location
12460 Euclid St
Suite 102
Garden Grove, CA 92840-3351
Mailing address
12460 Euclid St
Suite 102
Garden Grove, CA 92840-3351
Phone (714) 638-4852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330264772 | Other | CA | EMPLOYER IID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081210000156 | CA | Practitioner - Chiropractic | 0749225886 | Practice locations: Garden Grove, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12460 Euclid St
Garden Grove, CA 92840-3351
Phone (714) 638-4852
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC18626 | CA | MD | Chiropractor |
| 18626 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Chiropractic Dr Kent Salholm Inc | Chiropractor | 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.
-
- Chiropractor
- Garden Grove, CA
- NPI 1548752785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1356468532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12460 EUCLID ST",
"address_2": "SUITE 102",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928403351",
"telephone_number": "714-638-4852",
"fax_number": "714-638-4127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12460 EUCLID ST",
"address_2": "SUITE 102",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928403351",
"telephone_number": "714-638-4852",
"fax_number": "714-638-4127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALHOLM",
"first_name": "KENT",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER IID NUMBER",
"identifier": "330264772",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.