Individual provider Active NPI

Mikale Lee Slaughter, DC

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1528021409
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8382 Issued in TX
Practice address
2000 Sam Bass Rd
Suite 106 B
Round Rock, TX 78681-1970
Phone
(512) 947-6805
Fax
(512) 341-9459
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8382 TX Primary

Addresses

Primary practice location

2000 Sam Bass Rd
Suite 106 B
Round Rock, TX 78681-1970

Mailing address

2000 Sam Bass Rd
Suite 106 B
Round Rock, TX 78681-1970
Phone (512) 947-6805

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8382TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Relief Chiropractic, PLLC Past Accepting new patients
Slaughter Chiropractic PastSince Mar 1, 2002 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1528021409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SAM BASS RD",
            "address_2": "SUITE 106 B",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811970",
            "telephone_number": "512-947-6805",
            "fax_number": "512-341-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SAM BASS RD",
            "address_2": "SUITE 106 B",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811970",
            "telephone_number": "512-947-6805",
            "fax_number": "512-341-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUGHTER",
        "first_name": "MIKALE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.