Active NPI
Jairo Salcedo, D.M.D. M.M.SC
- Prosthodontics
- West Palm Beach, FL
National Provider Identifier
1609017482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 16602
- Practice address
- 1401 Forum Way
800
West Palm Beach, FL 33401-2325 - Phone
- (561) 682-0999
- Fax
- (561) 683-0899
- NPI assigned
- Mar 9, 2009
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 16602 | FL | Primary |
Addresses
Primary practice location
1401 Forum Way
800
West Palm Beach, FL 33401-2325
Mailing address
1401 Forum Way
800
West Palm Beach, FL 33401-2325
Phone (561) 682-0999
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 |
|---|---|---|---|
| 16602 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Prosthodontics, LLC | Prosthodontics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Prosthodontics
- West Palm Beach, FL
- NPI 1477793933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1609017482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 FORUM WAY",
"address_2": "800",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012325",
"telephone_number": "561-682-0999",
"fax_number": "561-683-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 FORUM WAY",
"address_2": "800",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012325",
"telephone_number": "561-682-0999",
"fax_number": "561-683-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALCEDO",
"first_name": "JAIRO",
"name_prefix": "Dr.",
"credential": "D.M.D. M.M.SC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-09",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "16602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.