Individual provider Active NPI

Michael Brian Salin, DMD

  • Specialist
  • Feasterville, PA
National Provider Identifier
1881668929
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
DS030984L Issued in PA
Practice address
137 W Street Rd
Feasterville, PA 19053-4168
Phone
(215) 322-7810
Fax
(215) 322-7832
NPI assigned
Feb 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DS030984L PA Primary

Addresses

Primary practice location

137 W Street Rd
Feasterville, PA 19053-4168

Mailing address

137 W Street Rd
Feasterville, PA 19053-4168
Phone (215) 322-7810

Other identifiers 2

IdentifierTypeStateIssuer
1615888OtherPABLUE SHIELD
2293622000OtherPAKEYSTONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000492 PA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 7911967542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Implant and Oral Surgery PCGroup PAC ID 3375635642, 5 clinicians

Practice addresses (Care Compare)

1300 Bridgetown Pike
Feasterville, PA 19053-4326
Phone (215) 322-7810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS030984LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Implant & Oral Surgery PC Specialist CurrentSince Jan 1, 2006 Accepting new patients

Locations

1494 Old York Rd
Fl 2
Abington, PA 19001
Phone (215) 322-7810

1300 Bridgetown Pike
Fstrvl Trvose, PA 19053
Phone (215) 322-7810

638 Newtown Yardley Rd
Ste 2A
Newtown, PA 18940
Phone (215) 322-7810

137 W Street Rd
Trevose, PA 19053
Phone (215) 322-7810

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881668929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W STREET RD",
            "city": "FEASTERVILLE",
            "state": "PA",
            "postal_code": "190534168",
            "telephone_number": "215-322-7810",
            "fax_number": "215-322-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W STREET RD",
            "city": "FEASTERVILLE",
            "state": "PA",
            "postal_code": "190534168",
            "telephone_number": "215-322-7810",
            "fax_number": "215-322-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIN",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "DS030984L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1615888",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2293622000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville, PA

Sources for this page

Verify at the official NPI Registry.