Matthew David Slattery, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401008887 Issued in VA

Practice address

802 Old Oyster Point Rd
Newport News, VA 23602-7215

Phone

(767) 595-2510

NPI assigned

Aug 8, 2006

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 VA

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

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780694521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 OLD OYSTER POINT RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027215",
            "telephone_number": "767-595-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 OLD OYSTER POINT RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027215",
            "telephone_number": "767-595-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Siu, M.D.
• Vanitha Seetha Sivakumar, MD
• Elizabeth Lynn Skorupa, D.C.
• Amanda Slack, PT, DPT
• Emily Slade, P.A.-C
• Kimtrese Lynette Slaughter, LPC
• Judith Slawter
• Sleepmed Hampton Roads LLC (SleepMed of Hampton Roads)
• Sleepmed Therapies, Inc
• Kristin Slezak, OTR/L

• Dentist in Newport News, VA
• Providers in Newport News, VA by specialty
• Dentist in Virginia

• 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.