Individual provider Active NPI

James Slaman, D.D.S.

  • General Practice Dentistry
  • Albuquerque, NM
National Provider Identifier
1104990571
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1744 Issued in NM
Practice address
8650 Alameda Blvd NE Ste 104E
Albuquerque, NM 87122-3791
Phone
(505) 881-7586
Fax
(505) 880-1769
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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 1744 NM Primary

Addresses

Primary practice location

8650 Alameda Blvd NE Ste 104E
Albuquerque, NM 87122-3791

Mailing address

8650 Alameda Blvd NE Ste 104E
Albuquerque, NM 87122-3791
Phone (505) 881-7586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20170424002441 NM Order and Referring Only - DentistPractitioner - Dentist 3779869938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1744NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
James M. Slaman, D.D.S., P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1104990571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 ALAMEDA BLVD NE STE 104E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223791",
            "telephone_number": "505-881-7586",
            "fax_number": "505-880-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 ALAMEDA BLVD NE STE 104E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223791",
            "telephone_number": "505-881-7586",
            "fax_number": "505-880-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAMAN",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.