Active NPI
Gustavo A. Teves Salazar, D.D.S.
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1639475023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60114
- Practice address
- 13341 SW 110TH Ter
Miami, FL 33186-4351 - Phone
- (305) 510-1987
- NPI assigned
- Feb 1, 2011
- 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 | 60114 | CA | Primary |
Addresses
Primary practice location
13341 SW 110TH Ter
Miami, FL 33186-4351
Mailing address
13341 SW 110TH Ter
Miami, FL 33186-4351
Phone (305) 510-1987
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 |
|---|---|---|---|
| 60114 | CA | MD | Medical Physician Assistant |
Interoperability endpoints
- gtsalazar@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1639475023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13341 SW 110TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864351",
"telephone_number": "305-510-1987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13341 SW 110TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864351",
"telephone_number": "305-510-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEVES SALAZAR",
"first_name": "GUSTAVO",
"middle_name": "A.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "60114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.