Individual provider Active NPI

James Slaughter III, DDS

  • Pediatric Dentistry
  • Corsicana, TX
National Provider Identifier
1396033643
Registry record updated Apr 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
27169 Issued in TX
Practice address
842 W 7TH Ave
Suite C&D
Corsicana, TX 75110-6318
Phone
(903) 874-5437
NPI assigned
Jul 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 27169 TX Primary

Addresses

Primary practice location

842 W 7TH Ave
Suite C&D
Corsicana, TX 75110-6318

Mailing address

360 Venture Point Dr
Prosper, TX 75078-9514
Phone (225) 288-8881

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
27169TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Tiny Teeth PLLC Pediatric Dentistry Current Accepting new patients
Corsicana Pediatric Dentistry, PA Pediatric Dentistry Current Accepting new patients
Texas Tiny Teeth Orthodontics PastSince Jan 2, 2022 Accepting new patients
Terrell Tiny Teeth PLLC Pediatric Dentistry PastSince Jul 2, 2023 Accepting new patients

Locations

842 W 7th Ave
Ste C
Corsicana, TX 75110
Phone (225) 288-8881

3206 Interstate Highway 30
Ste C
Greenville, TX 75402
Phone (469) 207-0302

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461456000000",
    "number": "1396033643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 VENTURE POINT DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789514",
            "telephone_number": "225-288-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 W 7TH AVE",
            "address_2": "SUITE C&D",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751106318",
            "telephone_number": "903-874-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2016-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "27169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2016; 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.