Active NPI
Jose Luis Salazar, DDS
- Dentist
- Memphis, TN
National Provider Identifier
1528131414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8109
- Practice address
- 6799 Great Oaks Rd
Suite 201
Memphis, TN 38138 - Phone
- (901) 753-0404
- Fax
- (901) 759-7931
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8109 | TN | Primary |
Addresses
Primary practice location
6799 Great Oaks Rd
Suite 201
Memphis, TN 38138
Mailing address
9919 Aberlour Dr
Memphis, TN 38016
Phone (901) 753-0404
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8109 | TN | MD | Clinical Social Worker |
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.
-
- Dentist
- Memphis, TN
- NPI 1487713434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528131414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9919 ABERLOUR DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38016",
"telephone_number": "901-753-0404",
"fax_number": "901-759-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6799 GREAT OAKS RD",
"address_2": "SUITE 201",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38138",
"telephone_number": "901-753-0404",
"fax_number": "901-759-7931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "8109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.