Salomon Israel, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN0013953 Issued in FL

Practice address

2025 35TH Ave Ste a
Vero Beach, FL 32960-2422

Phone

(772) 569-2100

Fax

(772) 569-8827

NPI assigned

Nov 17, 2006

Last updated

Oct 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Salomon Israel, DDS,PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Vero Beach, FL
  • NPI 1003113655
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1891869590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 35TH AVE STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602422",
            "telephone_number": "772-569-2100",
            "fax_number": "772-569-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 35TH AVE STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602422",
            "telephone_number": "772-569-2100",
            "fax_number": "772-569-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "SALOMON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0013953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "650850043",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN0013953",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irecovery, LLC (iRecoveryUSA)
• Irene Rahman-Garcia MD PA
• Island Health Concierge Medicine, Inc (Island Health Concierge Medicine)
• Island Pediatrics
• Orit Israel, PT
• J Robin Atwell,MD PA
• J Surani PA
• Michelle Maria Jabeth-Bacon, ARNP
• Rebecca Jacinthe
• Anne Jackson, PT

• Oral and Maxillofacial Surgery (Dentist) in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.