Individual provider Active NPI

Michael David Salkovitch, DDS

  • General Practice Dentistry
  • Solon, OH
National Provider Identifier
1851570683
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30014467 Issued in OH
Practice address
6200 Som Center Road
A15
Solon, OH 44139-2900
Phone
(440) 914-1960
Fax
(440) 914-1962
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 30014467 OH Primary

Addresses

Primary practice location

6200 Som Center Road
A15
Solon, OH 44139-2900

Mailing address

6200 Som Center Road
A15
Solon, OH 44139-2900
Phone (440) 914-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160525002611 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729377114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30014467OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1851570683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER ROAD",
            "address_2": "A15",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392900",
            "telephone_number": "440-914-1960",
            "fax_number": "440-914-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER ROAD",
            "address_2": "A15",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392900",
            "telephone_number": "440-914-1960",
            "fax_number": "440-914-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALKOVITCH",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30014467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.