Rolando Salazar, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

21354 Issued in TX

Practice address

5282 Medical Dr.
#316
San Antonio, TX 78229-6044

Phone

(210) 696-7500

Fax

(210) 692-0248

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 25, 2016 through Oct 25, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Antonio Oral and Maxillofacial Surgery Associates, P,a.

  • Oral and Maxillofacial Surgery (Dentist)
  • San Antonio, TX
  • NPI 1407986128
  NPD
• Saint Joseph Oral & Maxillofacial

  • Oral and Maxillofacial Pathology Dentistry
  • Laredo, TX
  • NPI 1104956630
  NPD (past)
• San Antonio Oral & Maxillofacial Surgery Associates, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • San Antonio, TX
  • NPI 1992243976
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1871623389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR.",
            "address_2": "#316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296044",
            "telephone_number": "210-696-7500",
            "fax_number": "956-795-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR.",
            "address_2": "#316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296044",
            "telephone_number": "210-696-7500",
            "fax_number": "210-692-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "ROLANDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "21354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159348509",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159348501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie M Salazar
• Patricia Ann Salazar, RN
• Priscilla Aguirre Salazar
• Priscilla B Salazar
• Puraida Salazar
• Ryan Salazar, RN
• Samantha L Salazar
• Samantha Raquel Salazar, LVN
• Sandra Araiza Salazar, LPC
• Selinda Yvette Salazar, PA-C

• Oral and Maxillofacial Pathology Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Oral and Maxillofacial Pathology Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.