Active NPI
Slaton Hoffner, D.D.S.
- Dental Anesthesiology
- Palatine, IL
National Provider Identifier
1295123529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 1001070-15
- Practice address
- 356 W Wood St
Palatine, IL 60067-7827 - Phone
- (269) 251-2300
- NPI assigned
- Jan 9, 2015
- Last updated
- Apr 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.030212 | IL | MD | Dentist |
| 137.000929 | IL | MD | Dentist Anesthesiologist |
| 1001070-15 | WI | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Oral Surgery & Dental Implants, S.C. | Current | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- West Allis, WI
- NPI 1760538490
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.