Individual provider Active NPI

Dwight Earl Slater, MD

  • Emergency Medicine Physician
  • Pigeon, MI
National Provider Identifier
1144320169
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301048861 Issued in MI
Practice address
170 N Caseville Rd
Pigeon, MI 48755-9704
Phone
(989) 453-3223
Fax
(989) 453-4454
NPI assigned
Sep 22, 2006
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301048861 MI Primary

Addresses

Primary practice location

170 N Caseville Rd
Pigeon, MI 48755-9704

Mailing address

170 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-3223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dslater84146@direct.covenanthealthcare.com

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Physicians Group Emergency Medicine Past Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dslater84146@direct.covenanthealthcare.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1144320169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559704",
            "telephone_number": "989-453-3223",
            "fax_number": "989-453-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559704",
            "telephone_number": "989-453-3223",
            "fax_number": "989-453-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "DWIGHT",
        "middle_name": "EARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301048861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dslater84146@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "170 N Caseville Rd",
            "city": "Pigeon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487559704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pigeon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.