Individual provider Active NPI

Vadean Salo, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1831228410
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40493 Issued in CA
Practice address
6222 Wilshire Blvd Ste 103
Los Angeles, CA 90048-5100
Phone
(323) 933-4444
Fax
(323) 933-0684
NPI assigned
Mar 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40493 CA Primary

Addresses

Primary practice location

6222 Wilshire Blvd Ste 103
Los Angeles, CA 90048-5100

Mailing address

6222 Wilshire Blvd Ste 103
Los Angeles, CA 90048-5100
Phone (323) 933-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160330001132 CA Order and Referring Only - DentistPractitioner - Dentist 7315244795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Salo DDS, Inc Past Accepting new patients
Salo DDS a Dental Corporation General Practice PastSince Dec 13, 2020 Accepting new patients

Organizations & group practices 2

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831228410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 WILSHIRE BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485100",
            "telephone_number": "323-933-4444",
            "fax_number": "323-933-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 WILSHIRE BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485100",
            "telephone_number": "323-933-4444",
            "fax_number": "323-933-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALO",
        "first_name": "VADEAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.