Individual provider Active NPI

Richard Salvagno, DDS

  • General Practice Dentistry
  • Pulaski, NY
National Provider Identifier
1588288807
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
061886 Issued in NY
Practice address
61 Delano St
Pulaski, NY 13142-1400
Phone
(315) 298-6815
NPI assigned
Jun 2, 2020
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 061886 NY Primary

Addresses

Primary practice location

61 Delano St
Pulaski, NY 13142-1400

Mailing address

61 Delano St
Pulaski, NY 13142-1400
Phone (681) 531-5298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908003219 NY Practitioner - Dentist 0840696324 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Oswego County Health Services, Inc. CurrentSince Sep 7, 2021 Accepting new patients
Northern Oswego County Health Services, Inc. Past Accepting new patients
Northern Oswego County Health Services, Inc. Past Accepting new patients
Northern Oswego County Health Services, Inc. Past Accepting new patients
Northern Oswego County Health Services, Inc. Past Accepting new patients
Northern Oswego County Health Services, Inc. Past Accepting new patients
Northern Oswego County Health Services, Inc. Past Accepting new patients

Locations

510 S 4th St
Ste 600
Fulton, NY 13069
Phone (315) 598-4790

716 Academy St
Fulton, NY 13069
Phone (315) 298-6815

26 Academy St
Mexico, NY 13114
Phone 3159638400 ext. 4208

1 Buccaneer Blvd
Oswego, NY 13126
Phone (315) 341-2600

120 E 1st St
Oswego, NY 13126
Phone (315) 342-0880

639 County Route 22
Parish, NY 13131
Phone (315) 625-5213

640 County Route 22
Parish, NY 13131
Phone (315) 625-5210

2 Hinman Rd
Pulaski, NY 13142
Phone (315) 298-2412

4624 Salina St
Pulaski, NY 13142
Phone (315) 298-2696

61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1588288807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "681-531-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVAGNO",
        "first_name": "RICHARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2022-06-20",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, NY

Sources for this page

Verify at the official NPI Registry.