Slenderlite, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SLENDERLITE, LLC

Doing business as

Skin Appeal

Practice address

4344 20TH Ave S
Fargo, ND 58103-7436

Phone

(701) 277-7200

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Steven M Bagan, M.D.

Title

Owner

Phone

(701) 293-8242

Specialties & licenses 1

Addresses

Other names 1

• Skin Appeal Doing business as

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1437558608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 20TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037436",
            "telephone_number": "701-277-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 20TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037436",
            "telephone_number": "701-277-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLENDERLITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "BAGAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-293-8242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Appeal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diana Rose Slivensky

• Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.