Individual provider Active NPI

Charles Erol Slone, DDS

  • General Practice Dentistry
  • San Juan Capistrano, CA
National Provider Identifier
1336344563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32182 Issued in CA
Practice address
32332 Camino Capistrano
#101
San Juan Capistrano, CA 92675-3701
Phone
(949) 493-1158
Fax
(949) 493-2492
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 32182 CA Primary

Addresses

Primary practice location

32332 Camino Capistrano
#101
San Juan Capistrano, CA 92675-3701

Mailing address

32332 Camino Capistrano
#101
San Juan Capistrano, CA 92675-3701
Phone (949) 493-1158

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
32182CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336344563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32332 CAMINO CAPISTRANO",
            "address_2": "#101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753701",
            "telephone_number": "949-493-1158",
            "fax_number": "949-493-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32332 CAMINO CAPISTRANO",
            "address_2": "#101",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753701",
            "telephone_number": "949-493-1158",
            "fax_number": "949-493-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLONE",
        "first_name": "CHARLES",
        "middle_name": "EROL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.