Individual provider Active NPI

Joseph William Slaughter, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Cruces, NM
National Provider Identifier
1194881532
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DB-2024-0026 Issued in NM
Practice address
2103 Telshor CT
Las Cruces, NM 88011-8245
Phone
(575) 522-8800
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DN015592 AZ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DB-2024-0026 NM Primary

Addresses

Primary practice location

2103 Telshor CT
Las Cruces, NM 88011-8245

Mailing address

2103 Telshor CT
Las Cruces, NM 88011-8245
Phone (575) 522-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228001218 AZ Order and Referring Only - DentistPractitioner - Dentist 0244295335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37506CAMDMarriage & Family Therapist
DB-2024-0026NMMDOral and Maxillofacial Surgery (Dentist)
DN015592AZMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Bryce Heiner, DMD, MD, LLC Oral and Maxillofacial Surgery CurrentSince Apr 28, 2024 Accepting new patients
Roswell Oral & Facial Surgery, LLC Oral and Maxillofacial Surgery PastSince Apr 28, 2024 Accepting new patients
North Valley Endodontics, P.a. PastSince May 1, 2022 Accepting new patients
Joseph W. Slaughter, DDS, Inc. Oral and Maxillofacial Surgery Past Accepting new patients

Locations

2103 Telshor Ct
Las Cruces, NM 88011
Phone (505) 522-8800

Organizations & group practices 4

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1194881532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 TELSHOR CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118245",
            "telephone_number": "575-522-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 TELSHOR CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118245",
            "telephone_number": "575-522-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AZ",
            "license": "DN015592",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "DB-2024-0026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.