Organization Active NPI

Mead L. Slagle DDS PLLC

  • General Practice Dentistry
  • Frisco, NC
National Provider Identifier
1467940239
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6725 Issued in NC
Legal business name
MEAD L. SLAGLE DDS PLLC
Practice address
50716 Hwy 12
Frisco, NC 27936-0023
Phone
(252) 995-4101
Fax
(252) 995-4423
NPI assigned
Apr 27, 2018
Last updated
Apr 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Jennifer Waterfield
Title
Office Manager
Phone
(252) 995-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6725 NC Primary

Addresses

Primary practice location

50716 Hwy 12
Frisco, NC 27936-0023

Mailing address

PO Box 967
Buxton, NC 27920-0967
Phone (252) 995-4101

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1467940239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "BUXTON",
            "state": "NC",
            "postal_code": "279200967",
            "telephone_number": "252-995-4101",
            "fax_number": "252-995-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50716 HWY 12",
            "city": "FRISCO",
            "state": "NC",
            "postal_code": "279360023",
            "telephone_number": "252-995-4101",
            "fax_number": "252-995-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEAD L. SLAGLE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "WATERFIELD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-995-4101"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.