Organization Active NPI

Slater Family Dental, PC

  • Dentist
  • Aloha, OR
National Provider Identifier
1598391054
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SLATER FAMILY DENTAL, PC
Practice address
18540 SW Vincent
Aloha, OR 97078
Phone
(503) 649-5900
Fax
(503) 649-9047
NPI assigned
Mar 17, 2020
Last updated
Mar 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Mr. Jay M Slater, D.M.D.
Title
Owner/Dentist
Phone
(503) 649-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

18540 SW Vincent
Aloha, OR 97078

Mailing address

18540 SW Vincent
Aloha, OR 97078
Phone (503) 649-5900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1598391054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18540 SW VINCENT",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "97078",
            "telephone_number": "503-649-5900",
            "fax_number": "503-649-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18540 SW VINCENT",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "97078",
            "telephone_number": "503-649-5900",
            "fax_number": "503-649-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATER FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-649-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.