NPIMap

Organization Active NPI

Lisa H. Slade DDS PC

  • Endodontics
  • Silver Spring, MD
National Provider Identifier
1215061882
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9660 Issued in MD
Legal business name
LISA H. SLADE DDS PC
Practice address
8607 2ND Ave
Suite 201a
Silver Spring, MD 20910-3355
Phone
(301) 585-9192
Fax
(301) 585-9163
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Lisa SladeNPI 1396879953
Title
Ceo-President
Phone
(301) 585-9192

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 9660 MD Primary

Addresses

Primary practice location

8607 2ND Ave
Suite 201a
Silver Spring, MD 20910-3355

Mailing address

8607 2ND Ave
Suite 201a
Silver Spring, MD 20910-3355
Phone (301) 585-9192

National Provider Directory

National Provider Directory

Locations

8607 2nd Ave
Ste 201A
Silver Spring, MD 20910
Phone (301) 585-9192

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1215061882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 2ND AVE",
            "address_2": "SUITE 201A",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103355",
            "telephone_number": "301-585-9192",
            "fax_number": "301-585-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 2ND AVE",
            "address_2": "SUITE 201A",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103355",
            "telephone_number": "301-585-9192",
            "fax_number": "301-585-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA H. SLADE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "301-585-9192",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "9660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.