Individual provider Active NPI

Vladimir Leon Salazar, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Inver Grove Heights, MN
National Provider Identifier
1508109810
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S120 Issued in MN
Practice address
5870 Blackshire Path
Inver Grove Heights, MN 55076-1620
Phone
(651) 433-7200
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X S120 MN
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X S120 MN Primary

Addresses

Primary practice location

5870 Blackshire Path
Inver Grove Heights, MN 55076-1620

Mailing address

5870 Blackshire Path
Inver Grove Heights, MN 55076-1620
Phone (651) 433-7200

Other names 1

  • Dr. Vladimir Leon Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
S120MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Odontotech, PC Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Locations

5870 Blackshire Path
Inver Grove Heights, MN 55076
Phone (651) 433-7200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1508109810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 BLACKSHIRE PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761620",
            "telephone_number": "651-433-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 BLACKSHIRE PATH",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761620",
            "telephone_number": "651-433-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON SALAZAR",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "S120",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "S120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VLADIMIR",
            "last_name": "LEON",
            "prefix": "DR.",
            "credential": "DDS, MSD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.