Eric Salud DDS, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019027812 Issued in IL

Legal business name

ERIC SALUD DDS, P.C.

Practice address

25445 S Pheasant LN Ste I
Channahon, IL 60410-8839

Phone

(708) 612-3616

NPI assigned

Feb 2, 2012

Last updated

Feb 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Salud, DDS

Title

Owner

Phone

(708) 612-3616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1922370204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25445 S PHEASANT LN STE I",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604108839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25445 S PHEASANT LN STE I",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604108839",
            "telephone_number": "708-612-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC SALUD DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "SALUD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-612-3616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Channahon, IL
• Providers in Channahon, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.