Individual provider Active NPI

Srikanthi Saladi, DMD

  • Dentist
  • Sunland Park, NM
National Provider Identifier
1881065944
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD4827 Issued in NM
Practice address
2625 McNutt Rd
Sunland Park, NM 88063
Phone
(575) 589-1500
Fax
(575) 589-1519
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21611 FL
Dentist 122300000X DD4827 NM Primary

Addresses

Primary practice location

2625 McNutt Rd
Sunland Park, NM 88063

Mailing address

385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105

Other identifiers 1

IdentifierTypeStateIssuer
53234049MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160318000334 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951608975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD4827NMMDDentist

Interoperability endpoints

  • Direct secure messaging: srikanthi.saladi@lcdfnm.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1881065944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 MCNUTT RD",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "88063",
            "telephone_number": "575-589-1500",
            "fax_number": "575-589-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALADI",
        "first_name": "SRIKANTHI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21611",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53234049",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland Park, NM

Sources for this page

Verify at the official NPI Registry.