Active NPI
Richard J. Salomon, M.D.
- Dermatology Physician
- Hickory, NC
National Provider Identifier
1790780088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 27302
- Practice address
- 1985 Tate Blvd SE
Hickory, NC 28602-1433 - Phone
- (828) 328-4449
- Fax
- (828) 328-4809
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 27302 | NC | |
| Dermatology Physician | 207N00000X | 27302 | NC | Primary |
| Procedural Dermatology Physician | 207NS0135X | 27302 | NC |
Addresses
Primary practice location
1985 Tate Blvd SE
Hickory, NC 28602-1433
Mailing address
1985 Tate Blvd SE
Hickory, NC 28602-1433
Phone (828) 328-4449
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74262 | Other | NC | BCBS INDIVIDUAL NUMBER |
| 790247A | Medicaid | NC | |
| 0247A | Other | NC | BCBS GROUP NUMBER |
| 1295845386 | Other | NC | GROUP NPI NUMBER |
| 8974262 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27302 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189209600000",
"number": "1790780088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 TATE BLVD SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021433",
"telephone_number": "828-328-4449",
"fax_number": "828-328-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 TATE BLVD SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021433",
"telephone_number": "828-328-4449",
"fax_number": "828-328-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOMON",
"first_name": "RICHARD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2007-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "27302",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "27302",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NC",
"license": "27302",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL NUMBER",
"identifier": "74262",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790247A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0247A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1295845386",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8974262",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.