Individual provider Active NPI

Robert D Slawek, D.M.D.

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1326203001
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029936L Issued in PA
Practice address
413 Lyceum Ave
Philadelphia, PA 19128-3418
Phone
(215) 482-9410
Fax
(215) 482-6353
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 DS029936L PA Primary

Addresses

Primary practice location

413 Lyceum Ave
Philadelphia, PA 19128-3418

Mailing address

413 Lyceum Ave
Philadelphia, PA 19128-3418
Phone (215) 482-9410

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS029936LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1326203001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 LYCEUM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283418",
            "telephone_number": "215-482-9410",
            "fax_number": "215-482-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 LYCEUM AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283418",
            "telephone_number": "215-482-9410",
            "fax_number": "215-482-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAWEK",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029936L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

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