NPIMap

Organization Active NPI

Slate Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Rocklin, CA
National Provider Identifier
1831748839
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SLATE DENTAL CORPORATION
Practice address
6512 Lonetree Blvd Ste 100
Rocklin, CA 95765-5883
Phone
(916) 780-1000
NPI assigned
Sep 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Dr. Darce Slate, DDSNPI 1184838351
Title
President
Phone
(916) 780-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

6512 Lonetree Blvd Ste 100
Rocklin, CA 95765-5883

Mailing address

6512 Lonetree Blvd Ste 100
Rocklin, CA 95765-5883
Phone (916) 780-1000

Other names 1

  • Pure Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6512 Lonetree Blvd
Ste 100
Rocklin, CA 95765
Phone (916) 780-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1831748839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 LONETREE BLVD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655883",
            "telephone_number": "916-780-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 LONETREE BLVD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655883",
            "telephone_number": "916-780-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "SLATE",
        "authorized_official_first_name": "DARCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-780-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.