Individual provider Active NPI

Joseph J Salas, DMD

  • General Practice Dentistry
  • Bradenton, FL
National Provider Identifier
1962540450
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16894 Issued in FL
Practice address
6607 3Rd Ave W
Bradenton, FL 34209-2306
Phone
(941) 708-5110
Fax
(941) 708-5120
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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 DN16894 FL Primary

Addresses

Primary practice location

6607 3Rd Ave W
Bradenton, FL 34209-2306

Mailing address

6607 3Rd Ave W
Bradenton, FL 34209-2306
Phone (941) 708-5110

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@josephsalasdmd.com

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
DN16894FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1962540450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 3RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092306",
            "telephone_number": "941-708-5110",
            "fax_number": "941-708-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 3RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092306",
            "telephone_number": "941-708-5110",
            "fax_number": "941-708-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@josephsalasdmd.com",
            "affiliation": "N",
            "address_1": "6607 3rd Ave W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342092306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.