Active NPI
Daniel Slusher, D.M.D.
- General Practice Dentistry
- Middlesboro, KY
National Provider Identifier
1073800033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9077
- Practice address
- 1517 Cumberland Ave
Middlesboro, KY 40965 - Phone
- (606) 248-7661
- Fax
- (606) 242-2749
- NPI assigned
- Jun 28, 2011
- Last updated
- Jun 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9349 | TN | |
| Dentist | 122300000X | 9077 | KY | |
| General Practice Dentistry | 1223G0001X | 9077 | KY | Primary |
Addresses
Primary practice location
1517 Cumberland Ave
Middlesboro, KY 40965
Mailing address
453 Highway 190
Pineville, KY 40977-8619
Phone (606) 337-9643
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9349 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1073800033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 HIGHWAY 190",
"city": "PINEVILLE",
"state": "KY",
"postal_code": "409778619",
"telephone_number": "606-337-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 CUMBERLAND AVE",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "40965",
"telephone_number": "606-248-7661",
"fax_number": "606-242-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUSHER",
"first_name": "DANIEL",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9349",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "9077",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "9077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlesboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.