Juan Carlos E Salazar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010047 Issued in WA

Practice address

3200 NE Sunset Blvd
Renton, WA 98056-3335

Phone

(425) 228-2555

NPI assigned

Nov 2, 2006

Last updated

Apr 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Juan Carlos Salazar, DDS, PS

  • Dental Clinic/Center
  • Renton, WA
  • NPI 1255761599
  NPD (past) Authorized official
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1942358262

  Dentist

  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1437238417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 NE 7TH CT",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594590",
            "telephone_number": "425-306-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NE SUNSET BLVD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563335",
            "telephone_number": "425-228-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8915 14th Ave S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981084813",
            "country_code": "US",
            "telephone_number": "206-762-3263",
            "fax_number": "206-763-6574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JUAN CARLOS",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010047",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042374788",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5049044",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caner Sakin, M.D.
• Bruce A Sako, DDS,PS
• Laura Kei Sako, PT
• Habibo A Salad
• Salama Care, LLC
• Justin Salazar
• Christina Salguero
• Saul Salido
• Ryan D Salinas, MD
• Salt Dental DMD LLC

• General Practice Dentistry in Renton, WA
• Providers in Renton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.