NPIMap

Organization Active NPI

Dr. Salerno Family Dental

  • Dentist
  • Berwyn, IL
National Provider Identifier
1588019012
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19-17774 Issued in IL
Legal business name
DR. SALERNO FAMILY DENTAL
Doing business as
Dr. Salerno family dental
Practice address
6436 Cermak Rd
Berwyn, IL 60402-2310
Phone
(708) 484-2710
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Dr. John A SalernoNPI 1548319080
Title
Dentist
Phone
(708) 484-2710

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19-17774 IL Primary

Addresses

Primary practice location

6436 Cermak Rd
Berwyn, IL 60402-2310

Mailing address

6436 Cermak Rd
Berwyn, IL 60402-2310
Phone (708) 484-2710

Other names 1

  • Dr. Salerno family dental Doing business as

National Provider Directory

National Provider Directory

Locations

6436 Cermak Rd
Berwyn, IL 60402
Phone (708) 317-5264

Practitioners & affiliated clinicians

Practitioners 2

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": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1588019012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6436 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022310",
            "telephone_number": "708-484-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6436 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022310",
            "telephone_number": "708-484-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SALERNO FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "SALERNO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-484-2710",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "19-17774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Salerno family dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.