Salo DDS a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SALO DDS A DENTAL CORPORATION

Practice address

1151 N. Sepulveda Blvd
Manhattan Beach, CA 90266

Phone

(310) 376-0432

Fax

(310) 372-9471

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

Vadim Dean Salo, D.D.S

Title

President

Phone

(310) 666-4541

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madelyne Sara Salo, DENTIST

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1457951360
  NPD
• Mark Steven Nelson, DDS

  • Dentist
  • Los Angeles, CA
  • NPI 1346577400
  NPD (past)
• Vadean Salo, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1831228410
  NPD (past)

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1659977049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 WILSHIRE BLVD #103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-666-4541",
            "fax_number": "323-933-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N. SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "90266",
            "telephone_number": "310-376-0432",
            "fax_number": "310-372-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALO DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "SALO",
        "authorized_official_first_name": "VADIM",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-666-4541",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Rutman
• Elena Safavi
• Susan Deborah Saint, MFT
• Nicole Salame, MD
• Walaa M Salem
• Sam Polansky Family Therapy Inc.
• Karisha Sanchez
• Deborah Sanders, M.ED., BCBA
• Maira Sandoval
• Amir Sanjabi

• General Practice Dentistry in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.