Active NPI
James Slaughter III, DDS
- Pediatric Dentistry
- Corsicana, TX
National Provider Identifier
1396033643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 27169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27169 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients | |
| Terrell Tiny Teeth PLLC | Pediatric Dentistry | Past | 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.
-
- Pediatric Dentistry
- Corsicana, TX
- NPI 1568825461
-
- Pediatric Dentistry
- Greenville, TX
- NPI 1699208488
-
- Pediatric Dentistry
- Terrell, TX
- NPI 1760169825
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Frisco, TX
- NPI 1508526732
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.