Active NPI
Salazar Dental of Indiana Inc
- Dental Clinic/Center
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SALAZAR DENTAL OF INDIANA INC
- Practice address
- 2015 W Washington St Ste B2
Indianapolis, IN 46222-4652 - Phone
- (317) 636-2002
- Fax
- (317) 803-3327
- NPI assigned
- Feb 3, 2025
- Last updated
- Feb 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin R Salazar
- Title
- Doctor
- Phone
- (317) 636-2002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2015 W Washington St Ste B2
Indianapolis, IN 46222-4652
Mailing address
2015 W Washington St Ste B2
Indianapolis, IN 46222-4652
Phone (317) 636-2002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588729164 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
2015 W Washington St
Ste B2
Indianapolis, IN 46222
Phone (317) 636-2002
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Indianapolis, IN
- NPI 1588729164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1497569347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 W WASHINGTON ST STE B2",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462224652",
"telephone_number": "317-636-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 W WASHINGTON ST STE B2",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462224652",
"telephone_number": "317-636-2002",
"fax_number": "317-803-3327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALAZAR DENTAL OF INDIANA INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A",
"authorized_official_last_name": "SALAZAR",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "317-636-2002"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588729164",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.