Active NPI
Mary M. Salama, DDS
- General Practice Dentistry
- Greenwood, IN
National Provider Identifier
1972026136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12012783A
- Practice address
- 331 S State Road 135 Ste D
Greenwood, IN 46142-1453 - Phone
- (317) 927-8230
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- 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 | 12012783A | IN | Primary |
Addresses
Primary practice location
331 S State Road 135 Ste D
Greenwood, IN 46142-1453
Mailing address
13759 Amblewind PL
Carmel, IN 46074-8225
Phone (317) 319-8210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171002000264 | IN | Order and Referring Only - Dentist | 9830464833 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1972026136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13759 AMBLEWIND PL",
"city": "CARMEL",
"state": "IN",
"postal_code": "460748225",
"telephone_number": "317-319-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S STATE ROAD 135 STE D",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421453",
"telephone_number": "317-927-8230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAMA",
"first_name": "MARY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12012783A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.