Organization Active NPI

Ron E. Slate Jr DPM PLLC

  • Podiatrist
  • Angleton, TX
National Provider Identifier
1184731531
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
RON E. SLATE JR DPM PLLC
Practice address
2036 E Mulberry St
Angleton, TX 77515-3923
Phone
(979) 848-0777
Fax
(979) 849-0757
NPI assigned
Aug 23, 2006
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Mr. Ron E. Slate Jr., DPM PLLCNPI 1922006063
Title
Medical Director/Owner
Phone
(979) 848-0777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Customized Equipment (DME) 332BC3200X NU
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

2036 E Mulberry St
Angleton, TX 77515-3923

Mailing address

2036 E Mulberry St
Angleton, TX 77515-3923
Phone (979) 848-0777

Other identifiers 5

IdentifierTypeStateIssuer
5304710001OtherTXMEDICARE DME PTAN
152063702MedicaidTX
171187104MedicaidTX
8B8071OtherTXMEDICARE INDIVIDUAL PTAN
00528WOtherTXMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040607001026 TX Part B Supplier - Clinic/Group Practice 4486636925 Receives reassigned benefits from 1 practitioner
Practice locations: Angleton, TX
O20100930094923 TX DME Supplier - Physician - Podiatry 4486636925 Practice locations: Angleton, TX

National Provider Directory

National Provider Directory

Locations

2036 E Mulberry St
Angleton, TX 77515
Phone (979) 297-2220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1184731531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 E MULBERRY ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153923",
            "telephone_number": "979-848-0777",
            "fax_number": "979-849-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 E MULBERRY ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153923",
            "telephone_number": "979-848-0777",
            "fax_number": "979-849-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON E. SLATE JR DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "SLATE",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "979-848-0777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM PLLC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME PTAN",
            "identifier": "5304710001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152063702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171187104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "8B8071",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00528W",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.