Individual provider Active NPI

Natalie Renee Saldivar, DMD

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1659747061
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS105607 Issued in CA
Practice address
10405 Tierrasanta Blvd
San Diego, CA 92124-2603
Phone
(858) 492-9300
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D-4691 ID
General Practice Dentistry 1223G0001X DDS105607 CA Primary

Addresses

Primary practice location

10405 Tierrasanta Blvd
San Diego, CA 92124-2603

Mailing address

6905 Turnbridge Way
San Diego, CA 92119-2133
Phone (208) 308-5985

Other practice location 1

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone (208) 308-5985

Other names 1

  • Natalie Renee Hanson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210811003187 CA Practitioner - Dentist 4082018163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-4691IDMDDentist
DDS105607CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego American Indian Health Center Dentist CurrentSince Apr 10, 2021 Accepting new patients
Afshar and Habashi Dental Corporation General Practice PastSince Nov 1, 2020 Accepting new patients

Locations

2602 1st Ave
Ste 105
San Diego, CA 92103

2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1659747061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 TURNBRIDGE WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192133",
            "telephone_number": "208-308-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 TIERRASANTA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242603",
            "telephone_number": "858-492-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921341098",
            "country_code": "US",
            "telephone_number": "208-308-5985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALDIVAR",
        "first_name": "NATALIE",
        "middle_name": "RENEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4691",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "HANSON",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.