Individual provider Active NPI

Nicholas George Salaita, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lancaster, CA
National Provider Identifier
1386890598
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
39329 Issued in CA
Practice address
1523 W Avenue J
Suite #3
Lancaster, CA 93534-2819
Phone
(661) 942-4353
Fax
(661) 940-6064
NPI assigned
Aug 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 39329 CA Primary

Addresses

Primary practice location

1523 W Avenue J
Suite #3
Lancaster, CA 93534-2819

Mailing address

1523 W Avenue J
Suite #3
Lancaster, CA 93534-2819
Phone (661) 942-4353

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39329CAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1386890598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 W AVENUE J",
            "address_2": "SUITE #3",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342819",
            "telephone_number": "661-942-4353",
            "fax_number": "661-940-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 W AVENUE J",
            "address_2": "SUITE #3",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342819",
            "telephone_number": "661-942-4353",
            "fax_number": "661-940-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAITA",
        "first_name": "NICHOLAS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "39329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.