Individual provider Active NPI

Greg Alan Salard, M.D.

  • Family Medicine Physician
  • Wrangell, AK
National Provider Identifier
1821041666
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5052 Issued in AK
Practice address
320 Bennett Street
Wrangell, AK 99929
Phone
(907) 874-4700
NPI assigned
May 19, 2006
Last updated
Dec 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-4681 AR
Family Medicine Physician 207Q00000X 026081 LA
Family Medicine Physician 207Q00000X 5052 AK Primary

Addresses

Primary practice location

320 Bennett Street
Wrangell, AK 99929

Mailing address

PO Box 1231
Wrangell, AK 99929
Phone (907) 874-4700

Other identifiers 3

IdentifierTypeStateIssuer
05413MedicaidLA
200092570AMedicaidOK
161466001MedicaidAR

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6576AKMDLicensed Practical Nurse
5052AKMDFamily Medicine Physician
E-4681ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Caddo Hospital Service District Family Medicine Past Accepting new patients
St Francis Emergency Group LLC Past Accepting new patients
De Queen Medical Center Inc Past Accepting new patients
Gustavus Community Clinic Inc Past Accepting new patients
Alaska Island Community Services Past Accepting new patients
WK Plain Dealing Medical Clinic Past Accepting new patients

Organizations & group practices 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1821041666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "99929",
            "telephone_number": "907-874-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BENNETT STREET",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "99929",
            "telephone_number": "907-874-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALARD",
        "first_name": "GREG",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-4681",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "026081",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05413",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200092570A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161466001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrangell, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.