NPIMap

Organization Active NPI

Slater Family Dentistry PLLC

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1043972565
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SLATER FAMILY DENTISTRY PLLC
Practice address
6963 E Main St
Mesa, AZ 85207-8209
Phone
(480) 981-3047
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Dr. Kelly Slater, DDSNPI 1295115202
Title
DDS/ Owner
Phone
(480) 981-3047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6963 E Main St
Mesa, AZ 85207-8209

Mailing address

6963 E Main St
Mesa, AZ 85207-8209
Phone (480) 981-3047

National Provider Directory

National Provider Directory

Locations

6963 E Main St
Mesa, AZ 85207
Phone (480) 981-3047

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1043972565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6963 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078209",
            "telephone_number": "480-981-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6963 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078209",
            "telephone_number": "480-981-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATER FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DDS/ OWNER",
        "authorized_official_telephone_number": "480-981-3047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.