Matthew Shelby Slaven, D.D.S., M.S.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2005014238 Issued in MO

Practice address

3555 Sunset Office Dr Ste C105
Saint Louis, MO 63127-1014

Phone

(314) 965-3271

Fax

(314) 965-8113

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acton Dental, LLC

  • General Practice Dentistry
  • Wentzville, MO
  • NPI 1568831857
  NPD Authorized official
• Periodontics LTD

  • Periodontics
  • Saint Louis, MO
  • NPI 1124212790
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598988909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 CEDAR TRAIL DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112655",
            "telephone_number": "636-527-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR STE C105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271014",
            "telephone_number": "314-965-3271",
            "fax_number": "314-965-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVEN",
        "first_name": "MATTHEW",
        "middle_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "2005014238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Slapak
• Emily Ann Slat, MD, PHD
• Ashley Elizabeth Slater, FNP
• Rachel Slaugh, CGC
• Janessia Nani Slaughter, MS, RD, LD
• Avril Slavin, M.D.
• Raymond G Slavin, MD
• Brian Hassan Slayyeh, DO
• Bethany Sleckman, M.D.
• Makenzie Alyse Sledd, MPT

• Periodontics in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Periodontics in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.