Lee James Slater, DDS, MS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

25032 Issued in CA

Practice address

5190 Governor Dr
Suite 106
San Diego, CA 92122-2847

Phone

(858) 784-0600

Fax

(858) 784-0604

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 12, 2013 through Dec 12, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gordon M Rick

  dba Scripps Oral Pathology Service

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1063683357
  NPD (past)
• Scripps Oral Pathology Service, LLC

  dba Scripps Oral Pathology Service

  • Oral and Maxillofacial Pathology Dentistry
  • San Diego, CA
  • NPI 1487082046
  NPD (past)
• University Dental Health Services, Inc.

  • General Practice Dentistry
  • Pittsburgh, PA
  • NPI 1194788653
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336112721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11377 LEGACY CANYON PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313524",
            "telephone_number": "858-587-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 GOVERNOR DR",
            "address_2": "SUITE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222847",
            "telephone_number": "858-784-0600",
            "fax_number": "858-784-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "LEE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "25032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel R. Slater, MD
• Hannah Elizabeth Slater, MD
• Janiece Ellen Slater, PT
• Jerry Munro Slater, MD
• Kelly I Slater, MD
• Michelle Lynn Slater, LMFT
• Susan Slater, OTR/L
• Danielle Slaterback
• Steven Mathew Slatten, M.ED
• Tyler Slattery

• Oral and Maxillofacial Pathology Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.