Rodney John Slater, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

5686807-9922 Issued in UT

Practice address

5540 W Pisa LN
Highland, UT 84003-4805

Phone

(801) 722-8211

Fax

(575) 586-0519

NPI assigned

May 28, 2009

Last updated

Jan 22, 2023By the provider in NPPES

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 NM

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

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674345600000",
    "number": "1619102019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 W PISA LN",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840034805",
            "telephone_number": "801-722-8211",
            "fax_number": "575-586-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 W PISA LN",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840034805",
            "telephone_number": "801-722-8211",
            "fax_number": "575-586-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "RODNEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5686807-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger W Sheffield, M.D.
• Nicholas Todd Shelton, DC
• Scott Steven Shelton, DPM
• Lindsey Shipley
• Bailey Slade
• Kelsie Smalley, MT-BC
• Gavyn Christian Smith, DDS
• Julie Spencer, MS
• Nikole Decker Squires, LAT, ATC, CPT
• Steven J. Weaver, O.D. LLC (Alpine Vision Center)

• Dentist in Highland, UT
• Providers in Highland, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2023; 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.