Jay Michael Slater, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60465783 Issued in WA

Practice address

8700 NE Vancouver Mall Dr
Suite 202a
Vancouver, WA 98662-6750

Phone

(360) 219-9616

NPI assigned

Jun 27, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1821438425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 COLUMBIA HOUSE BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617777",
            "telephone_number": "360-746-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 NE VANCOUVER MALL DR",
            "address_2": "SUITE 202A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626750",
            "telephone_number": "360-219-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9879",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60465783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carden Skoubo
• Javeen Lynette Skoubo, PSYD.
• Casey Jean Skurzewski, FNP
• Aimee Slater, LCSW, CSWA
• Brianna Renee Slater
• Kelly Sue Slater, RN, CDE
• Kyle David Marc Slater
• Marquette Slater
• Jason Slaton, MA
• Tandy Michelle Slaton

• Dentist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.