Active NPI
Emmanuel Salar, DMD
- General Practice Dentistry
- Springfield, MO
National Provider Identifier
1891304929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2020035763
- Practice address
- 636 W Republic Rd Ste 120
Springfield, MO 65807-5803 - Phone
- (417) 882-3200
- NPI assigned
- Jul 24, 2020
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2020035763 | MO | Primary |
Addresses
Primary practice location
636 W Republic Rd Ste 120
Springfield, MO 65807-5803
Mailing address
636 W Republic Rd Ste 120
Springfield, MO 65807-5803
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020035763 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Family Dental LLC | General Practice | Current | Accepting new patients |
| Michael Smith DMD, LLC | Past | Accepting new patients | |
| Thomas J Feder DDS PC | Past | Accepting new patients | |
| SFFD LLC | Dentist | Past | Accepting new patients |
Locations
636 W Republic Rd
Ste 120
Springfield, MO 65807
Phone (417) 882-3200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Springfield, MO
- NPI 1902541972
General Practice
-
- Dentist
- Springfield, MO
- NPI 1093650947
-
- Dental Clinic/Center
- Belleville, IL
- NPI 1639679087
-
- Dental Clinic/Center
- Belleville, IL
- NPI 1578734489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1891304929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 W REPUBLIC RD STE 120",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 W REPUBLIC RD STE 120",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075803",
"telephone_number": "417-882-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAR",
"first_name": "EMMANUEL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-24",
"last_updated": "2023-05-04",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2020035763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.