Active NPI
Dick D Slater, MD
- Vascular & Interventional Radiology Physician
- N Las Vegas, NV
National Provider Identifier
1417907106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 18656
- Practice address
- 6900 N Pecos Rd
N Las Vegas, NV 89086-4400 - Phone
- (702) 791-9000
- Fax
- (877) 300-0864
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 18656 | NE | Primary |
Addresses
Primary practice location
6900 N Pecos Rd
N Las Vegas, NV 89086-4400
Mailing address
6900 N Pecos Rd
N Las Vegas, NV 89086-4400
Phone (702) 791-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18656 | Other | NE | NE LICENSE |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creighton University | Past | Accepting new patients | |
| Flatirons Radiology, LLC | Vascular & Interventional Radiology | Past | Accepting new patients |
| Creighton University | Past | Accepting new patients |
Organizations & group practices 3
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.
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Vascular & Interventional Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1417907106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 N PECOS RD",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-791-9000",
"fax_number": "877-300-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 N PECOS RD",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-791-9000",
"fax_number": "877-300-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "DICK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NE",
"license": "18656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NE LICENSE",
"identifier": "18656",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in N Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.