Derek R Sloan DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DEREK R SLOAN DDS PLLC

Practice address

142 E State Highway 260
Payson, AZ 85541-4948

Phone

(480) 492-6399

NPI assigned

Dec 4, 2019

Organization subpart

No

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

Authorized official

Name

Derek Sloan, DDS

Title

Owner

Phone

(480) 492-6399

Specialties & licenses 1

Addresses

Other names 1

• DEREK R SLOAN DDS PLLC Doing business as

Locations

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1023655503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "PINE",
            "state": "AZ",
            "postal_code": "855441231",
            "telephone_number": "480-492-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E STATE HIGHWAY 260",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414948",
            "telephone_number": "480-492-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK R SLOAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-492-6399",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEREK R SLOAN DDS PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia D. Booth, MD PLLC
• Dan Nurse Practitioner Services, LLC
• Michael D Darnell, DO
• Lori Lynn Davenport, LPC
• Michael Keene Demack, PA C S
• Desert Dentistry, PLLC
• Dexter D Dewitt, MD
• Diana L Easton
• Ryan L Diquattro
• Diversified Solutions, Inc.

• All providers in Payson, AZ
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.