NPIMap

Organization Active NPI

Avenue B Dentistry LLC

  • Dental Clinic/Center
  • Yuma, AZ
National Provider Identifier
1831847060
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AVENUE B DENTISTRY LLC
Practice address
1460 S Avenue B
Yuma, AZ 85364-4332
Phone
(928) 344-3067
NPI assigned
Mar 16, 2022
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Dr. Kelly Slater, DDSNPI 1295115202
Title
Owner/ Doctor
Phone
(602) 471-4535

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1460 S Avenue B
Yuma, AZ 85364-4332

Mailing address

1460 S Avenue B
Yuma, AZ 85364-4332
Phone (928) 344-3067

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.AVENUEBDENTISTRY.COM Direct

National Provider Directory

National Provider Directory

Locations

1460 S Avenue B
Yuma, AZ 85364
Phone (928) 344-3067

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1831847060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S AVENUE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644332",
            "telephone_number": "928-344-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S AVENUE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644332",
            "telephone_number": "928-344-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE B DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "602-471-4535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.AVENUEBDENTISTRY.COM",
            "affiliation": "N",
            "endpointDescription": "Secure front staff business email address for dental office information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "A",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Health information",
            "address_1": "1460 S Avenue B",
            "city": "Yuma",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853644332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.