Individual provider Active NPI

Teresa Mary Salem, D.M.D

  • Dentist
  • Holbrook, MA
National Provider Identifier
1689941155
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19021 Issued in MA
Practice address
175 North Franklin Street
Holbrook, MA 02343
Phone
(781) 767-0979
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19021 MA Primary

Addresses

Primary practice location

175 North Franklin Street
Holbrook, MA 02343

Mailing address

12 Pinecrest Rd
Hingham, MA 02043-3027
Phone (781) 740-8566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160607001862 MA Order and Referring Only - DentistPractitioner - Dentist 0244520039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19021MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Dental Implant LLC Current Accepting new patients

Organizations & group practices 1

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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1689941155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PINECREST RD",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433027",
            "telephone_number": "781-740-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NORTH FRANKLIN STREET",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "02343",
            "telephone_number": "781-767-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "TERESA",
        "middle_name": "MARY",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, MA

Sources for this page

Verify at the official NPI Registry.