Eric D Salud, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019027812 Issued in IL

Practice address

1507 N Veterans Pkwy Ste 2
Bloomington, IL 61704-0916

Phone

(309) 661-0197

NPI assigned

Oct 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Affordable Dentistry Today, PC

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1205058666
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1992956148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 N VETERANS PKWY STE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617040916",
            "telephone_number": "309-661-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 N VETERANS PKWY STE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617040916",
            "telephone_number": "309-661-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALUD",
        "first_name": "ERIC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sailer, OTR/L
• Katherine Salanga
• Michael Ray Salaway, PT
• Pamela Sallade-Bardenshtein
• Stacey Elaine Salmonson, APRN, CNP
• Salus Counseling LLC
• Julie Lynn Salzbrunn, D.C.
• Lizandro Sanchez, PT, DPT
• Cedric Joshua Sanders
• Adam D Sangston

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.