Individual provider Active NPI

Brian Anthony Salvie, DMD

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1881212876
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12060 Issued in TN
Practice address
7333 Shallowford Rd
Chattanooga, TN 37421-2627
Phone
(423) 414-3140
NPI assigned
Jul 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS105435 CA
Dentist 122300000X 12060 TN Primary

Addresses

Primary practice location

7333 Shallowford Rd
Chattanooga, TN 37421-2627

Mailing address

9989 Meadowstone Dr
Apison, TN 37302-7601
Phone (413) 441-5893

Other practice location 1

401 E School Ave
Visalia, CA 93291-5032
Phone (877) 960-3426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201021001323 CA Order and Referring Only - DentistPractitioner - Dentist 6901226521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS105435CAMDGeneral Practice Dentistry
12060TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1881212876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9989 MEADOWSTONE DR",
            "city": "APISON",
            "state": "TN",
            "postal_code": "373027601",
            "telephone_number": "413-441-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212627",
            "telephone_number": "423-414-3140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E School Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915032",
            "country_code": "US",
            "telephone_number": "877-960-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVIE",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105435",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.