Individual provider Active NPI

Christopher R Salas, D.D.S.

  • General Practice Dentistry
  • Purcellville, VA
National Provider Identifier
1477761849
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411513 Issued in VA
Practice address
100 Purcellville Gateway Dr Ste D
Purcellville, VA 20132-3487
Phone
(540) 338-3330
NPI assigned
May 18, 2007
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019100 MI
General Practice Dentistry 1223G0001X 0401411513 VA Primary

Addresses

Primary practice location

100 Purcellville Gateway Dr Ste D
Purcellville, VA 20132-3487

Mailing address

100 Purcellville Gateway Dr Ste D
Purcellville, VA 20132-3487
Phone (540) 338-3330

Other practice location 1

9499 Holly Rd
Grand Blanc, MI 48439-8351
Phone (810) 694-7450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322001544 VA Order and Referring Only - DentistPractitioner - Dentist 6002113800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019100MIMDGeneral Practice Dentistry
0401411513VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Church Salas and Leipzig LLC PastSince Mar 28, 2021 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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1477761849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PURCELLVILLE GATEWAY DR STE D",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323487",
            "telephone_number": "540-338-3330",
            "fax_number": "540-338-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PURCELLVILLE GATEWAY DR STE D",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323487",
            "telephone_number": "540-338-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9499 Holly Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484398351",
            "country_code": "US",
            "telephone_number": "810-694-7450",
            "fax_number": "810-695-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAS",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-03-24",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "019100",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.