Individual provider Active NPI

Wallace J Salter, M.D.

  • Family Medicine Physician
  • Littleton, CO
National Provider Identifier
1851491070
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TL5910 Issued in WY
Practice address
7325 S Pierce St Ste 102
Littleton, CO 80128-4553
Phone
(039) 729-1383
Fax
(303) 972-1496
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TL5910 WY Primary
Family Medicine Physician 207Q00000X 35071 CO

Addresses

Primary practice location

7325 S Pierce St Ste 102
Littleton, CO 80128-4553

Mailing address

2221 Elm St
Rawlins, WY 82301-5108
Phone (307) 324-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191112002628 WY Practitioner - Family Practice 4183618572 Reassigns benefits to 1 organization
I20201005001185 TX Practitioner - Family Practice 4183618572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35071COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Sep 14, 2020 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients
Columbine Medical Associates Family Medicine PastSince Aug 25, 2019 Accepting new patients
Med-X., P.C. Past Accepting new patients
The ER Group, LLC Past Accepting new patients

Locations

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Organizations & group practices 7

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1851491070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 ELM ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015108",
            "telephone_number": "307-324-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 S PIERCE ST STE 102",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284553",
            "telephone_number": "039-729-1383",
            "fax_number": "303-972-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTER",
        "first_name": "WALLACE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "TL5910",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "35071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.