Individual provider Active NPI

Leonard P. Salines III, D.D.S.

  • General Practice Dentistry
  • Allentown, PA
National Provider Identifier
1639276546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS022842L Issued in PA
Practice address
2233 Walbert Ave
Unit 2
Allentown, PA 18104-1358
Phone
(610) 435-2982
Fax
(610) 435-2982
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS022842L PA Primary

Addresses

Primary practice location

2233 Walbert Ave
Unit 2
Allentown, PA 18104-1358

Mailing address

2233 Walbert Ave
Unit 2
Allentown, PA 18104-1358
Phone (610) 435-2982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150724009823 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587977277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639276546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WALBERT AVE",
            "address_2": "UNIT 2",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041358",
            "telephone_number": "610-435-2982",
            "fax_number": "610-435-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WALBERT AVE",
            "address_2": "UNIT 2",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041358",
            "telephone_number": "610-435-2982",
            "fax_number": "610-435-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALINES III",
        "first_name": "LEONARD",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022842L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.