Active NPI
Peter Slepsky, D.D.S.
- General Practice Dentistry
- Cape Charles, VA
National Provider Identifier
1477602605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401008191
- Practice address
- 24023 Fairview Rd
Cape Charles, VA 23310-2153 - Phone
- (757) 331-6004
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401008191 | VA | Primary |
Addresses
Primary practice location
24023 Fairview Rd
Cape Charles, VA 23310-2153
Mailing address
1265 Hebden CV
Virginia Beach, VA 23452-4607
Phone (757) 486-8047
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107280 | Medicaid | VA | |
| 0015829 | Medicaid | VA | |
| 107281 | Medicaid | VA | |
| 182122 | Other | VA | LOCATION ID NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401008191 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter Slepsky DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Cape Charles, VA
- NPI 1962541896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477602605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 HEBDEN CV",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234524607",
"telephone_number": "757-486-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24023 FAIRVIEW RD",
"city": "CAPE CHARLES",
"state": "VA",
"postal_code": "233102153",
"telephone_number": "757-331-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEPSKY",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401008191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107280",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015829",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107281",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOCATION ID NUMBER",
"identifier": "182122",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Charles, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.