Cathy Marie Salak, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS029447L Issued in PA

Practice address

615 Roosevelt Hwy
Waymart, PA 18472

Phone

(570) 488-7280

Fax

(570) 488-6550

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720191703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ROOSEVELT HWY",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "18472",
            "telephone_number": "570-488-7280",
            "fax_number": "570-488-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ROOSEVELT HWY",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "18472",
            "telephone_number": "570-488-7280",
            "fax_number": "570-488-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAK",
        "first_name": "CATHY",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029447L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen J Orehek, MD
• Katherine Orehek
• Pediatric Practices of Northeastern PA
• Kenneth A Phillips, OD
• Joseph Quinones
• Mollie Schubert, M.S. CCC-SLP
• Colleen C Siepiela-Carmody
• Silvercrestmd,P.C.
• Wawrzyniec Lawrence Stepczak, M.D.
• Jessica Marie Taylor, PA-C

• Dentist in Waymart, PA
• Providers in Waymart, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.