Organization Active NPI

Salta of Auburn Hills

  • Family Medicine Physician
  • Auburn Hills, MI
National Provider Identifier
1578163465
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SALTA OF AUBURN HILLS
Practice address
2191 South Blvd Ste 101C
Auburn Hills, MI 48326-3481
Phone
(248) 972-2780
Fax
(248) 972-2790
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
John Blanchard, MD
Title
Owner
Phone
(248) 861-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2191 South Blvd Ste 101C
Auburn Hills, MI 48326-3481

Mailing address

1627 W Big Beaver Rd
Troy, MI 48084-3501
Phone (248) 220-1560

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2206598Salta of Auburn Hills, PLLC2191 S South Blvd Suite 101C, Auburn Hills, MI 48326Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory

Locations

2191 South Blvd
Ste 101C
Auburn Hills, MI 48326
Phone (248) 724-1420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1578163465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843501",
            "telephone_number": "248-220-1560",
            "fax_number": "248-220-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 SOUTH BLVD STE 101C",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263481",
            "telephone_number": "248-972-2780",
            "fax_number": "248-972-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALTA OF AUBURN HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-861-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.