Individual provider Active NPI

Michael Matthew Salvia, D.M.D.

  • General Practice Dentistry
  • Mount Pocono, PA
National Provider Identifier
1942492830
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036572 Issued in PA
Practice address
1005 Route 940
Mount Pocono, PA 18344-1337
Phone
(570) 839-2101
NPI assigned
Aug 14, 2007
Last updated
Aug 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS036572 PA Primary

Addresses

Primary practice location

1005 Route 940
Mount Pocono, PA 18344-1337

Mailing address

1005 Route 940
Mount Pocono, PA 18344-1337
Phone (570) 839-2101

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

LicenseStateTypeSpecialty
DS036572PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1942492830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 ROUTE 940",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441337",
            "telephone_number": "570-839-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 ROUTE 940",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441337",
            "telephone_number": "570-839-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVIA",
        "first_name": "MICHAEL",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pocono, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.