Active NPI
Jonathan B. Slater, DC
- Chiropractor
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25405
- Practice address
- 90 E Tasman Dr
San Jose, CA 95134-1617 - Phone
- (408) 944-6100
- Fax
- (408) 944-6102
- NPI assigned
- Feb 21, 2006
- Last updated
- Oct 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC25405 | CA | Primary |
| Chiropractor | 111N00000X | 8624 | CA |
Addresses
Primary practice location
90 E Tasman Dr
San Jose, CA 95134-1617
Mailing address
90 E Tasman Dr
San Jose, CA 95134-1617
Phone (563) 884-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25405 | CA | MD | Chiropractor |
| 25405 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Petros, M.D., Inc. | Chiropractor | Current | Accepting new patients |
| James Petros, M.D., Inc. | Current | Accepting new patients | |
| Palmer College of Chiropractic West | Chiropractor | Current | Accepting new patients |
| James Petros, M.D., Inc. | Chiropractor | Current | Accepting new patients |
Locations
14777 Los Gatos Blvd
Ste 202
Los Gatos, CA 95032
Phone (408) 784-7515
1604 Blossom Hill Rd
Ste 10
San Jose, CA 95124
Phone 4085288833605
90 E Tasman Dr
San Jose, CA 95134
Phone (408) 944-6000
1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800
Organizations & group practices 4
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.
-
dba Allied Pain & Spine Institute
- Physical Medicine & Rehabilitation Physician
- Los Gatos, CA
- NPI 1336448299
-
dba Allied Pain & Spine
- Physical Medicine & Rehabilitation Physician
- Mountain View, CA
- NPI 1235872060
Chiropractor
-
dba Allied Pain & Spine
- Physical Medicine & Rehabilitation Physician
- San Leandro, CA
- NPI 1710620554
Chiropractor
-
dba Palmer College of Chiropractic West, Palmer Chiropractic Univ. Found.
- Chiropractor
- San Jose, CA
- NPI 1417030024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538784000000",
"number": "1568437903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 E TASMAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341617",
"telephone_number": "563-884-5810",
"fax_number": "563-884-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 E TASMAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951341617",
"telephone_number": "408-944-6100",
"fax_number": "408-944-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "JONATHAN",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2018-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25405",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "8624",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.