Individual provider Active NPI

Daniel Scott Slaybaugh, D.M.D.

  • General Practice Dentistry
  • Clearwater, FL
National Provider Identifier
1063592830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15496 Issued in FL
Practice address
28467 US Highway 19 N
Suite 301
Clearwater, FL 33761-4333
Phone
(727) 725-2439
Fax
(727) 725-5077
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN15496 FL Primary

Addresses

Primary practice location

28467 US Highway 19 N
Suite 301
Clearwater, FL 33761-4333

Mailing address

28467 US Highway 19 N
Suite 301
Clearwater, FL 33761-4333
Phone (727) 725-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729009900 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729392154

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063592830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28467 US HIGHWAY 19 N",
            "address_2": "SUITE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614333",
            "telephone_number": "727-725-2439",
            "fax_number": "727-725-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28467 US HIGHWAY 19 N",
            "address_2": "SUITE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614333",
            "telephone_number": "727-725-2439",
            "fax_number": "727-725-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYBAUGH",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.