Active NPI
Byan Saleh
- Dentist
- Philadelphia, PA
National Provider Identifier
1669901716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS041585
- Practice address
- 61 W Chelten Ave
Philadelphia, PA 19144-2701 - Phone
- (212) 713-2626
- NPI assigned
- Jun 11, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS041585 | PA | Primary |
Addresses
Primary practice location
61 W Chelten Ave
Philadelphia, PA 19144-2701
Mailing address
350 N Clark St Ste 600
Chicago, IL 60654-4782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180320000138 | PA | Order and Referring Only - Dentist | 3971865577 |
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": "1497139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1669901716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N CLARK ST STE 600",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 W CHELTEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191442701",
"telephone_number": "212-713-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEH",
"first_name": "BYAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-11",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.