Active NPI
Sydney Cullop Salow
- Dentist
- Ashland, KY
National Provider Identifier
1407438856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10588
- Practice address
- 500 Winchester Ave Ste 420
Ashland, KY 41101-7367 - Phone
- (606) 324-0800
- NPI assigned
- Apr 26, 2021
- Last updated
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4532 | WV | |
| Dentist | 122300000X | 10588 | KY | Primary |
Addresses
Primary practice location
500 Winchester Ave Ste 420
Ashland, KY 41101-7367
Mailing address
4010 Grandview Dr
Ashland, KY 41101-6259
Phone (606) 547-6100
Other practice location 1
29 Tanyard Station Dr
Barboursville, WV 25504-1168
Phone (304) 948-2006
Other names 1
- Sydney Nicole Cullop
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240524000067 | KY | Order and Referring Only - Dentist | 5799127551 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10588 | KY | MD | Dentist |
| 4532 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel M Cost DDS PLLC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1407438856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 GRANDVIEW DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411016259",
"telephone_number": "606-547-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WINCHESTER AVE STE 420",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017367",
"telephone_number": "606-324-0800"
}
],
"practiceLocations": [
{
"address_1": "29 Tanyard Station Dr",
"address_purpose": "LOCATION",
"city": "Barboursville",
"state": "WV",
"postal_code": "255041168",
"country_code": "US",
"telephone_number": "304-948-2006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALOW",
"first_name": "SYDNEY",
"middle_name": "CULLOP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "4532",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SYDNEY",
"last_name": "CULLOP",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.