Individual provider Active NPI

Jimmy S Slamat, D.D.S.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1346383098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48023 Issued in CA
Practice address
607 W 6TH St
Los Angeles, CA 90017-3201
Phone
(213) 624-6482
Fax
(213) 624-8483
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Dentist 122300000X 48023 CA Primary

Addresses

Primary practice location

607 W 6TH St
Los Angeles, CA 90017-3201

Mailing address

600 W 9TH St
#216
Los Angeles, CA 90015-4301
Phone (213) 842-5489

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
48023CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Han K.Tak,D.D.S. a Professional Corporation Dentist Past Accepting new patients
Jimmy Slamat, D.D.S., a Professional Corporation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346383098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 9TH ST",
            "address_2": "#216",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154301",
            "telephone_number": "213-842-5489",
            "fax_number": "213-622-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173201",
            "telephone_number": "213-624-6482",
            "fax_number": "213-624-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAMAT",
        "first_name": "JIMMY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, 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.