Brent D. Sloten D.O. PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

3368 Issued in AZ

Legal business name

BRENT D. SLOTEN D.O. PLLC

Practice address

1818 E Baseline Rd
BLDG. a
Mesa, AZ 85204-6814

Phone

(480) 981-1214

Fax

(480) 981-1625

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brent Drew Sloten, D.O.

Title

Managing Member

Phone

(480) 981-1214

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Allure Dermatology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fiona E Hanly, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1265749345
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1467595504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4880",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852614880",
            "telephone_number": "480-981-1214",
            "fax_number": "480-981-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E BASELINE RD",
            "address_2": "BLDG. A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046814",
            "telephone_number": "480-981-1214",
            "fax_number": "480-981-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT D. SLOTEN D.O. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "SLOTEN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-981-1214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "3368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "3368",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1073585402",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allure Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allure Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alissa Michele Brennan, P.T.A.
• David Michael Brennan, FNP-C
• Diane Gail Brennan, PSYD
• Michael Brennan, MD
• Lois E Brenneman, FNP
• Brent H. Mason, DDS, PC
• Martha K Brent
• Kamarie Bresee
• Judy Breshears, O.D.
• Lisette Breto, PHARM.D

• Medical Specialty Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.