Individual provider Active NPI

Andrea Salazar Toth, DDS

  • General Practice Dentistry
  • Kentwood, MI
National Provider Identifier
1801175054
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901020529 Issued in MI
Practice address
937 52ND St SE
Kentwood, MI 49508-6003
Phone
(616) 531-1550
Fax
(616) 531-0037
NPI assigned
Aug 5, 2011
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901020529 MI Primary

Addresses

Primary practice location

937 52ND St SE
Kentwood, MI 49508-6003

Mailing address

937 52ND St SE
Kentwood, MI 49508-6003
Phone (616) 531-1550

Other names 1

  • Dr. Andrea Patricia Salazar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150623001562 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5991016537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Family Dentistry of Kentwood Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1801175054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 52ND ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086003",
            "telephone_number": "616-531-1550",
            "fax_number": "616-531-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 52ND ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086003",
            "telephone_number": "616-531-1550",
            "fax_number": "616-531-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTH",
        "first_name": "ANDREA",
        "middle_name": "SALAZAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SALAZAR",
            "middle_name": "PATRICIA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.