Corbin Salthouse, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2021020458 Issued in MO

Practice address

11941 Manchester Rd
Des Peres, MO 63131-4502

Phone

(314) 804-5437

NPI assigned

Jul 24, 2019

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CCS Smiles LLC

  dba Salthouse Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Des Peres, MO
  • NPI 1316638125
  NPD Authorized official

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1790338168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 TURTLE CV",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11941 MANCHESTER RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314502",
            "telephone_number": "314-804-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTHOUSE",
        "first_name": "CORBIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30025875",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2021020458",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "61920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Rogers, RNFA
• Vita Rosenberg, FNP-C
• Ginger Ruhmann
• Samuel David Russo, RDN
• Steven James Ryan, D.C.
• Byron A Santos-Flores, M.D.
• Jennifer Scharf, MS, PT
• Rachel Anne Schoelch
• Leslie E Schuman
• Lisa Schwarztrauber, OTR/L, CHT

• Pediatric Dentistry in Des Peres, MO
• Providers in Des Peres, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.