Individual provider Active NPI

Janice Noel Salazar, DDS

  • Dentist
  • Santa Fe, NM
National Provider Identifier
1801906607
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD2779 Issued in NM
Practice address
4250 Cerrillos Rd
#1202
Santa Fe, NM 87507-4697
Phone
(505) 982-4867
Fax
(505) 424-8535
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD2779 NM Primary

Addresses

Primary practice location

4250 Cerrillos Rd
#1202
Santa Fe, NM 87507-4697

Mailing address

PO Box 29476
Santa Fe, NM 87592-9476
Phone (505) 982-4867

Other identifiers 1

IdentifierTypeStateIssuer
DD2779OtherNMNEW MEXICO STATE LIC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DD2779NMMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1801906607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29476",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875929476",
            "telephone_number": "505-982-4867",
            "fax_number": "505-424-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CERRILLOS RD",
            "address_2": "#1202",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074697",
            "telephone_number": "505-982-4867",
            "fax_number": "505-424-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JANICE",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO STATE LIC",
            "identifier": "DD2779",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.