Individual provider Active NPI

Jonathan B. Slater, DC

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1568437903
Registry record updated Oct 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25405 Issued in CA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20050524000664 CA Practitioner - Chiropractic 0941242515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25405CAMDChiropractor
25405CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
James Petros, M.D., Inc. Chiropractor CurrentSince Nov 1, 2024 Accepting new patients
James Petros, M.D., Inc. Current Accepting new patients
Palmer College of Chiropractic West Chiropractor CurrentSince Aug 24, 2016 Accepting new patients
James Petros, M.D., Inc. Chiropractor CurrentSince Nov 1, 2024 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.

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.

Verify at the official NPI Registry.