Individual provider Active NPI

Jared Slovan, DMD

  • Dentist
  • Tempe, AZ
National Provider Identifier
1154513729
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8919 Issued in AZ
Practice address
4427 S Rural Rd
Suite 2
Tempe, AZ 85282-7061
Phone
(480) 897-2274
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4358 SC
Dentist 122300000X 8919 AZ Primary

Addresses

Primary practice location

4427 S Rural Rd
Suite 2
Tempe, AZ 85282-7061

Mailing address

4427 S Rural Rd
Suite 2
Tempe, AZ 85282-7061
Phone (480) 897-2274

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1154513729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 S RURAL RD",
            "address_2": "SUITE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827061",
            "telephone_number": "480-897-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 S RURAL RD",
            "address_2": "SUITE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827061",
            "telephone_number": "480-897-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVAN",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4358",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "8919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.