Individual provider Active NPI

Slaton Hoffner, D.D.S.

  • Dental Anesthesiology
  • Palatine, IL
National Provider Identifier
1295123529
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
1001070-15 Issued in WI
Practice address
356 W Wood St
Palatine, IL 60067-7827
Phone
(269) 251-2300
NPI assigned
Jan 9, 2015
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.030212 IL
Dentist 122300000X 1001070-15 WI
Dental Anesthesiology 1223D0004X 137.000929 IL
Dental Anesthesiology 1223D0004X 1001070-15 WI Primary

Addresses

Primary practice location

356 W Wood St
Palatine, IL 60067-7827

Mailing address

10401 W Lincoln Ave
Ste 101
West Allis, WI 53227-1255
Phone (269) 251-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20170413001183 WI Practitioner - Dentist 0749566396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.030212ILMDDentist
137.000929ILMDDentist Anesthesiologist
1001070-15WIMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Oral Surgery & Dental Implants, S.C. CurrentSince Mar 11, 2017 Accepting new patients

Locations

10401 W Lincoln Ave
West Allis, WI 53227
Phone (414) 259-7296

10401 W Lincoln Ave
Ste 101
West Allis, WI 53227
Phone (414) 327-4130

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": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1295123529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 W LINCOLN AVE",
            "address_2": "STE 101",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271255",
            "telephone_number": "269-251-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 W WOOD ST",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677827",
            "telephone_number": "269-251-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFNER",
        "first_name": "SLATON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030212",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001070-15",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "IL",
            "license": "137.000929",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "WI",
            "license": "1001070-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.