Active NPI
Michael Anthony Slater, DDS
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1043704182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7483
- Practice address
- 2430 S 73Rd St Ste 202
Omaha, NE 68124-2397 - Phone
- (402) 651-3215
- NPI assigned
- Jun 21, 2018
- Sex
- Male
- 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 | 7483 | NE | Primary |
Addresses
Primary practice location
2430 S 73Rd St Ste 202
Omaha, NE 68124-2397
Mailing address
3414 N 128TH Cir
Omaha, NE 68164-4236
Phone (402) 651-3215
Other names 1
- Dr. Michael Anthony Slater
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7483 | NE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1043704182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 N 128TH CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681644236",
"telephone_number": "402-651-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 S 73RD ST STE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242397",
"telephone_number": "402-651-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-21",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "7483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "SLATER",
"middle_name": "ANTHONY",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.