Organization Active NPI

Robert E. Slocum, D.O.,P.a.

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1578891198
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C8852 Issued in TX
Legal business name
ROBERT E. SLOCUM, D.O.,P.A.
Practice address
4925 Greenville Ave
Suite 1158
Dallas, TX 75206-4026
Phone
(214) 691-1224
Fax
(972) 271-1650
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. Robert E Slocum, D.O.
Title
President
Phone
(214) 691-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X C8852 TX Primary

Addresses

Primary practice location

4925 Greenville Ave
Suite 1158
Dallas, TX 75206-4026

Mailing address

3314 Ranch Dr
Garland, TX 75041-4449
Phone (214) 691-1224

National Provider Directory

National Provider Directory

Locations

4925 Greenville Ave
Ste 1158
Dallas, TX 75206
Phone (214) 691-1224

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1578891198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 RANCH DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750414449",
            "telephone_number": "214-691-1224",
            "fax_number": "972-271-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 GREENVILLE AVE",
            "address_2": "SUITE 1158",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064026",
            "telephone_number": "214-691-1224",
            "fax_number": "972-271-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. SLOCUM, D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "SLOCUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-691-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "C8852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.