Individual provider Active NPI

Jeffrey John Slovick, DDS

  • General Practice Dentistry
  • Elmhurst, IL
National Provider Identifier
1306007471
Registry record updated Jun 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19-17274 Issued in IL
Practice address
109 N Haven Rd
Elmhurst, IL 60126-2931
Phone
(630) 834-1629
Fax
(630) 834-0850
NPI assigned
Jun 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19-17274 IL Primary

Addresses

Primary practice location

109 N Haven Rd
Elmhurst, IL 60126-2931

Mailing address

109 N Haven Rd
Elmhurst, IL 60126-2931
Phone (630) 834-1629

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
19-17274ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214092800000",
    "number": "1306007471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N HAVEN RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262931",
            "telephone_number": "630-834-1629",
            "fax_number": "630-834-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N HAVEN RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262931",
            "telephone_number": "630-834-1629",
            "fax_number": "630-834-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVICK",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-22",
        "last_updated": "2008-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-17274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; 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.