NPIMap

Organization Active NPI

Salkeld Family Dental, LLC

  • Dentist
  • Fort Wayne, IN
National Provider Identifier
1891120382
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009491A Issued in IN
Legal business name
SALKELD FAMILY DENTAL, LLC
Practice address
12962 Coldwater Rd
Fort Wayne, IN 46845-9517
Phone
(260) 637-4648
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Steven Charles Salkeld, DDSNPI 1851353601
Title
Owner
Phone
(260) 637-4648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12009491A IN Primary

Addresses

Primary practice location

12962 Coldwater Rd
Fort Wayne, IN 46845-9517

Mailing address

12962 Coldwater Rd
Fort Wayne, IN 46845-9517
Phone (260) 637-4648

National Provider Directory

National Provider Directory

Locations

10540 Coldwater Rd
Fort Wayne, IN 46845
Phone (260) 637-4648

12962 Coldwater Rd
Fort Wayne, IN 46845
Phone (260) 637-4648

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1891120382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12962 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459517",
            "telephone_number": "260-637-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12962 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459517",
            "telephone_number": "260-637-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALKELD FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "SALKELD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-637-4648",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009491A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.