Active NPI
Slimbolic, L.P.
- Clinic/Center
- Dayton, OH
National Provider Identifier
1700634235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SLIMBOLIC, L.P.
- Practice address
- 67 Marydale Dr
Dayton, OH 45440-2358 - Phone
- (937) 458-3803
- NPI assigned
- May 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Elam
- Title
- Ceo
- Phone
- (937) 626-4558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
67 Marydale Dr
Dayton, OH 45440-2358
Mailing address
67 Marydale Dr
Dayton, OH 45440-2358
Phone (937) 458-3803
Other names 2
- Slimbolic
- Slimbolic Weight Loss & Med Spa
National Provider Directory
National Provider DirectoryLocations
67 Marydale Dr
Dayton, OH 45440
Phone (578) 376-6869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1700634235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 MARYDALE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454402358",
"telephone_number": "937-458-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 MARYDALE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454402358",
"telephone_number": "937-458-3803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLIMBOLIC, L.P.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "ELAM",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "937-626-4558"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Slimbolic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Slimbolic Weight Loss & Med Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.