Dr. Donald H. Saltzman, D.D.S., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019-011974 Issued in IL

Legal business name

DR. DONALD H. SALTZMAN, D.D.S., P.C.

Practice address

1029 Howard St
Evanston, IL 60202-3877

Phone

(847) 492-0660

Fax

(847) 869-5858

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donald H. Saltzman, D.D.S.

Title

Dentist

Phone

(847) 491-0660

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1861666992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023877",
            "telephone_number": "847-492-0660",
            "fax_number": "847-869-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023877",
            "telephone_number": "847-492-0660",
            "fax_number": "847-869-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DONALD H. SALTZMAN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SALTZMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-491-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-011974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019-011974",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.