Individual provider Active NPI

Dustin Lee Slunaker, D.M.D

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1629219480
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7704 Issued in AZ
Practice address
4111 N Drinkwater Blvd Apt A208
Scottsdale, AZ 85251-3650
Phone
(406) 431-9839
NPI assigned
Mar 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7704 AZ Primary

Addresses

Primary practice location

4111 N Drinkwater Blvd Apt A208
Scottsdale, AZ 85251-3650

Mailing address

4111 N Drinkwater Blvd Apt A208
Scottsdale, AZ 85251-3650
Phone (406) 431-9839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7704AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1629219480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 N DRINKWATER BLVD APT A208",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513650",
            "telephone_number": "406-431-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 N DRINKWATER BLVD APT A208",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513650",
            "telephone_number": "406-431-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUNAKER",
        "first_name": "DUSTIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.