Individual provider Active NPI

Katherine A. Sims Slocum, DDS

  • Dentist
  • Anaconda, MT
National Provider Identifier
1447480678
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2359 Issued in MT
Practice address
307 E Park Ave
Suite 308
Anaconda, MT 59711-2320
Phone
(406) 563-3473
Fax
(406) 563-7557
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2359 MT Primary

Addresses

Primary practice location

307 E Park Ave
Suite 308
Anaconda, MT 59711-2320

Mailing address

307 E Park Ave
Suite 308
Anaconda, MT 59711-2320
Phone (406) 563-3473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511002456 MT Order and Referring Only - DentistPractitioner - Dentist 7214226463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1447480678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E PARK AVE",
            "address_2": "SUITE 308",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112320",
            "telephone_number": "406-563-3473",
            "fax_number": "406-563-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E PARK AVE",
            "address_2": "SUITE 308",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112320",
            "telephone_number": "406-563-3473",
            "fax_number": "406-563-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOCUM",
        "first_name": "KATHERINE",
        "middle_name": "A. SIMS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "2359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

Verify at the official NPI Registry.