Active NPI
Daniel Irvin Slater, MD
- Physical Medicine & Rehabilitation Physician
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 42924
- Practice address
- 2686 Patterson Rd
Grand Junction, CO 81506 - Phone
- (970) 298-6005
- Fax
- (970) 298-7138
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 42924 | CO | Primary |
Addresses
Primary practice location
2686 Patterson Rd
Grand Junction, CO 81506
Mailing address
PO Box 62
Grand Junction, CO 81502-0062
Phone (970) 298-6005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19737726 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42924 | CO | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| St Mary'S Hospital and Medical Center, Inc | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009
2686 Patterson Rd
Grand Junction, CO 81506
Phone (970) 298-2001
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Grand Junction, CO
- NPI 1356765556
Physical Medicine & Rehabilitation
-
- Durable Medical Equipment & Medical Supplies
- Grand Junction, CO
- NPI 1609737618
-
- Hematology & Oncology Physician
- Grand Junction, CO
- NPI 1275714081
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1801880679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815020062",
"telephone_number": "970-298-6005",
"fax_number": "970-298-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2686 PATTERSON RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81506",
"telephone_number": "970-298-6005",
"fax_number": "970-298-7138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "DANIEL",
"middle_name": "IRVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "42924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19737726",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.