Active NPI
Samuel J Denton, MD
- Dermatology Physician
- Salem, OR
National Provider Identifier
1881656387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD13615
- Practice address
- 2441 Grear St NE
Salem, OR 97301-2749 - Phone
- (503) 588-0469
- NPI assigned
- Apr 3, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD13615 | OR | Primary |
Addresses
Primary practice location
2441 Grear St NE
Salem, OR 97301-2749
Mailing address
2441 Grear St NE
Salem, OR 97301-2749
Phone (503) 588-0469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149161 | Medicaid | OR |
Other names 1
- S Jon Denton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13615 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881656387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 GREAR ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012749",
"telephone_number": "503-588-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 GREAR ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012749",
"telephone_number": "503-588-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTON",
"first_name": "SAMUEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "MD13615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149161",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "S",
"last_name": "DENTON",
"middle_name": "JON",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Salem, OR
- Dental Health Professionals of Oregon, PC (Valley View Dental Care)
- Dental Professionals of Oregon, P.C. (Pearly Whites Family Dentistry)
- Dental Professionals of Oregon, P.C. (Crown Point Dental Care)
- Dental West Associates PC
- Erik John Denton
- Aneet Jyot Deo, M.D.
- Jocelyn Ann Depriest
- Erik W Deproost, PT
- Heidi Depue, PHD
- Dermatology Clinic PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.