Individual provider Active NPI

Adam Vincent Slatniske, D.M.D.

  • Dentist
  • Parkville, MD
National Provider Identifier
1164909644
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16610 Issued in MD
Practice address
9010 Harford Rd
Parkville, MD 21234-4033
Phone
(410) 665-2202
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16610 MD Primary

Addresses

Primary practice location

9010 Harford Rd
Parkville, MD 21234-4033

Mailing address

9010 Harford Rd
Parkville, MD 21234-4033
Phone (410) 665-2202

Other identifiers 1

IdentifierTypeStateIssuer
16610OtherMDPPI

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

State licenses

LicenseStateTypeSpecialty
16610MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
James G Kokorelis D.D.S. P.a. Dentist 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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1164909644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344033",
            "telephone_number": "410-665-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344033",
            "telephone_number": "410-665-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATNISKE",
        "first_name": "ADAM",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPI",
            "identifier": "16610",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

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

Verify at the official NPI Registry.