Individual provider Active NPI

Natalie Vasiliki Slade, D.D.S.

  • Dentist
  • Huber Heights, OH
National Provider Identifier
1578602678
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.021332 Issued in OH
Practice address
7212 Taylorsville Rd
Huber Heights, OH 45424-2303
Phone
(937) 233-6500
NPI assigned
Feb 5, 2007
Last updated
Mar 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.021332 OH Primary

Addresses

Primary practice location

7212 Taylorsville Rd
Huber Heights, OH 45424-2303

Mailing address

7212 Taylorsville Rd
Huber Heights, OH 45424-2303
Phone (937) 233-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526000768 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931429453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.021332OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylorsville Family Dental 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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1578602678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 TAYLORSVILLE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242303",
            "telephone_number": "937-233-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 TAYLORSVILLE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242303",
            "telephone_number": "937-233-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "NATALIE",
        "middle_name": "VASILIKI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.021332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.