Active NPI
Alan Paul Salomon, D.D.S.
- General Practice Dentistry
- Memphis, TN
National Provider Identifier
1619970605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS2418
- Practice address
- 5575 Poplar Ave
Ste 121
Memphis, TN 38119-3824 - Phone
- (901) 683-5293
- Fax
- (901) 683-9370
- NPI assigned
- May 23, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS2418 | TN | Primary |
Addresses
Primary practice location
5575 Poplar Ave
Ste 121
Memphis, TN 38119-3824
Mailing address
5575 Poplar Ave
Ste 121
Memphis, TN 38119-3824
Phone (901) 683-5293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160208001911 | TN | Order and Referring Only - Dentist | 8628372877 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS2418 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619970605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 POPLAR AVE",
"address_2": "STE 121",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193824",
"telephone_number": "901-683-5293",
"fax_number": "901-683-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 POPLAR AVE",
"address_2": "STE 121",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193824",
"telephone_number": "901-683-5293",
"fax_number": "901-683-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOMON",
"first_name": "ALAN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS2418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Seth Aaron Salley, O.D.
- Nada Salloukh, DNP, APRN, FNP-C
- Amal Moussa Salloum, PHARM.D
- Alshaimaa Abdusalam Salman, MD
- Jason Jacob Salmon, M.D.
- Michelle Khitam Mohammed Salti Jaber
- Terry Salvant Jr., PHARMD
- Sam Delk (Sam Delk MD)
- Sam's Club Optical (Sam's Club Optical 30-8292)
- Sam's Club Optical (Sam's Club Optical 30-6256)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.