Leann Clarice Salo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10976 Issued in MN

Practice address

3900 Vinewood LN N
#13
Plymouth, MN 55441-1155

Phone

(763) 557-6893

Fax

(763) 550-0744

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Salo Dental

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1891419818
  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1366465221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VINEWOOD LN N",
            "address_2": "#13",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411155",
            "telephone_number": "763-557-6893",
            "fax_number": "763-550-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 VINEWOOD LN N",
            "address_2": "#13",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411155",
            "telephone_number": "763-557-6893",
            "fax_number": "763-550-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALO",
        "first_name": "LEANN",
        "middle_name": "CLARICE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Sadler
• Joel A Sagedahl, M.D.
• Julie Marie Sailors
• Bashir A Salah
• Richard M Salib, MD
• Megan Salone
• Angela Salue
• Mary Kathleen Salveson, OCCUPATIONAL THERAPI
• Emily Samborn, NP
• Steven Andrew Samborski, M.D.

• General Practice Dentistry in Plymouth, MN
• Providers in Plymouth, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.