Organization Active NPI

Herb G. Salisbury, PA

  • Dentist
  • Panama City, FL
National Provider Identifier
1578868709
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN8608 Issued in FL
Legal business name
HERB G. SALISBURY, PA
Doing business as
Panama City Dental Studio
Practice address
2410 Saint Andrews Blvd
Suite C
Panama City, FL 32405-2134
Phone
(850) 784-0700
Fax
(850) 784-0903
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Herb G Salisbury III, D.M.D
Title
Dentist/Owner
Phone
(850) 784-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN8608 FL Primary

Addresses

Primary practice location

2410 Saint Andrews Blvd
Suite C
Panama City, FL 32405-2134

Mailing address

2410 Saint Andrews Blvd
Suite C
Panama City, FL 32405-2134
Phone (850) 784-0700

Other identifiers 1

IdentifierTypeStateIssuer
1396810024OtherFLPERSONAL NPI

Other names 1

  • Panama City Dental Studio Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Herb G Salisbury PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2410 Saint Andrews Blvd
Ste C
Panama City, FL 32405
Phone (850) 784-0700

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1578868709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SAINT ANDREWS BLVD",
            "address_2": "SUITE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052134",
            "telephone_number": "850-784-0700",
            "fax_number": "850-784-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAINT ANDREWS BLVD",
            "address_2": "SUITE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052134",
            "telephone_number": "850-784-0700",
            "fax_number": "850-784-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERB G. SALISBURY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "SALISBURY",
        "authorized_official_first_name": "HERB",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "850-784-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN8608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1396810024",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panama City Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.