Individual provider Active NPI

Eric Saltsberg, PH.D., C.PED., CFO

  • Pedorthist
  • Ormond Beach, FL
National Provider Identifier
1447918057
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
PED147 Issued in FL
Practice address
1474 W Granada Blvd Ste 475
Ormond Beach, FL 32174-8240
Phone
(386) 451-1225
Fax
(386) 274-5156
NPI assigned
Nov 30, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PedorthistGroup: 193400000X SINGLE SPECIALTY GROUP 224L00000X PED147 FL Primary

Addresses

Primary practice location

1474 W Granada Blvd Ste 475
Ormond Beach, FL 32174-8240

Mailing address

PO Box 290625
Port Orange, FL 32129-0625
Phone (516) 242-8070

Other identifiers 1

IdentifierTypeStateIssuer
PED147OtherFLVOLUSIA HEALTH NETWORK

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 Philosophy

State licenses

LicenseStateTypeSpecialty
PED147FLMDPedorthist

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1447918057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290625",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321290625",
            "telephone_number": "516-242-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 W GRANADA BLVD STE 475",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748240",
            "telephone_number": "386-451-1225",
            "fax_number": "386-274-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTSBERG",
        "first_name": "ERIC",
        "credential": "PH.D., C.PED., CFO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": "FL",
            "license": "PED147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VOLUSIA HEALTH NETWORK",
            "identifier": "PED147",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.