Individual provider Active NPI

Craig Slotke, DDS

  • Dentist
  • Lumberton, NC
National Provider Identifier
1780089490
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9703 Issued in NC
Practice address
600 Country Club Road
Robeson County Community Service Learning Center
Lumberton, NC 28360
Phone
(252) 737-7518
NPI assigned
Oct 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9703 NC Primary

Addresses

Primary practice location

600 Country Club Road
Robeson County Community Service Learning Center
Lumberton, NC 28360

Mailing address

600 Country Club Road
Robeson County Community Service Learning Center
Lumberton, NC 28360
Phone (252) 737-7518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160920002349 NC Practitioner - DentistPractitioner - Oral Surgery 5193012078 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Dentist CurrentSince May 6, 2016 Accepting new patients
East Carolina University CurrentSince May 6, 2016 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University Dentist PastSince Jul 28, 2024 Accepting new patients

Locations

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

600 Country Club Rd
Lumberton, NC 28360
Phone (910) 737-6457

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1780089490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COUNTRY CLUB ROAD",
            "address_2": "ROBESON COUNTY COMMUNITY SERVICE LEARNING CENTER",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28360",
            "telephone_number": "252-737-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COUNTRY CLUB ROAD",
            "address_2": "ROBESON COUNTY COMMUNITY SERVICE LEARNING CENTER",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "28360",
            "telephone_number": "252-737-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTKE",
        "first_name": "CRAIG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.