Cornelia Alice Sallar

Primary specialty

DentistTaxonomy code 122300000X

License

D1450 Issued in SD

Practice address

2400 W 41St St
Sioux Falls, SD 57105-6119

Phone

(605) 679-7227

NPI assigned

Jun 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

State licenses

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1740966969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 E ELIZABETH DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034623",
            "telephone_number": "615-738-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W 41ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056119",
            "telephone_number": "605-679-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLAR",
        "first_name": "CORNELIA",
        "middle_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bassel Salem, MD
• Karla R Salem, LCSW-PIP, QMHP
• Sumera Salim, M.D
• Salisbury Counseling LLC
• Anthony Selase Sallar, M.D
• Steven R. Salmela, MD
• Latanda Morgan Salmen, CSWPIP
• Amber Ray Saloum, MD
• James Saloum, MD
• Karen M. Salter Lyle, CRNA

• Dentist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.