Individual provider Active NPI

Quinton Dewayne Slaughter, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Midlothian, TX
National Provider Identifier
1184992588
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
27501 Issued in TX
Practice address
1741 N Highway 67 Ste 100
Midlothian, TX 76065-2493
Phone
(469) 649-8259
Fax
(469) 649-8256
NPI assigned
Dec 13, 2011
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27501 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 27501 TX Primary

Addresses

Primary practice location

1741 N Highway 67 Ste 100
Midlothian, TX 76065-2493

Mailing address

1741 N Highway 67 Ste 100
Midlothian, TX 76065-2493
Phone (469) 649-8259

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27501TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thad Taylor IV DDS Oral and Maxillofacial Surgery 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, 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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1184992588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 N HIGHWAY 67 STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652493",
            "telephone_number": "469-649-8259",
            "fax_number": "469-649-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 N HIGHWAY 67 STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652493",
            "telephone_number": "469-649-8259",
            "fax_number": "469-649-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "QUINTON",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27501",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "27501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.