Individual provider Active NPI

Kent S. Salholm, D.C.

  • Chiropractor
  • Garden Grove, CA
National Provider Identifier
1356468532
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC18626 Issued in CA
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

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
330264772OtherCAEMPLOYER IID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC18626CAMDChiropractor
18626CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.