Active NPI
Rebecca Lynn Slayton, DDS, PHD
- Pediatric Dentistry
- Seattle, WA
National Provider Identifier
1376648493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE00009883
- Practice address
- 6222 NE 74TH St # 354915
The Center for Pediatric Dentistry
Seattle, WA 98115-8158 - Phone
- (206) 543-6141
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE00009883 | WA | Primary |
| Pediatric Dentistry | 1223P0221X | 07587 | IA |
Addresses
Primary practice location
6222 NE 74TH St # 354915
The Center for Pediatric Dentistry
Seattle, WA 98115-8158
Mailing address
80 E Roanoke St
Unit 7
Seattle, WA 98102-3243
Phone (319) 855-3441
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5050562 | Medicaid | WA | |
| 807451900 | Medicaid | ID | |
| 0130067 | Medicaid | MT | |
| DD481WA | Medicaid | AK |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07587 | IA | MD | Pediatric Dentist |
| DE00009883 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1376648493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 E ROANOKE ST",
"address_2": "UNIT 7",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023243",
"telephone_number": "319-855-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6222 NE 74TH ST # 354915",
"address_2": "THE CENTER FOR PEDIATRIC DENTISTRY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981158158",
"telephone_number": "206-543-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAYTON",
"first_name": "REBECCA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00009883",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IA",
"license": "07587",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5050562",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807451900",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0130067",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DD481WA",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.