Active NPI
Salam Rajih, DMD
- Dentist
- Valley Park, MO
National Provider Identifier
1417793217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2024020986
- Practice address
- 922 Meramec Station Rd Ste D
Valley Park, MO 63088-2043 - Phone
- (636) 203-7159
- NPI assigned
- Jul 2, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2024020986 | MO | Primary |
Addresses
Primary practice location
922 Meramec Station Rd Ste D
Valley Park, MO 63088-2043
Mailing address
922 Meramec Station Rd Ste D
Valley Park, MO 63088-2043
Phone (636) 203-7159
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024020986 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1417793217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 MERAMEC STATION RD STE D",
"city": "VALLEY PARK",
"state": "MO",
"postal_code": "630882043",
"telephone_number": "636-203-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 MERAMEC STATION RD STE D",
"city": "VALLEY PARK",
"state": "MO",
"postal_code": "630882043",
"telephone_number": "636-203-7159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJIH",
"first_name": "SALAM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2024020986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Park, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.