Individual provider Active NPI

Amber Leann Slevin, D.D.S

  • Pediatric Dentistry
  • York, PA
National Provider Identifier
1891177101
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS042505 Issued in PA
Practice address
1399 S Queen St
York, PA 17403-3840
Phone
(717) 741-0848
Fax
(717) 741-9366
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS042505 PA Primary

Addresses

Primary practice location

1399 S Queen St
York, PA 17403-3840

Mailing address

3601 Fleet St
Baltimore, MD 21224-4211
Phone (304) 651-2504

Other identifiers 1

IdentifierTypeStateIssuer
124450700MedicaidMD

Other names 1

  • Dr. Amber Leann Adkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS042505PAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1891177101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 FLEET ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244211",
            "telephone_number": "304-651-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033840",
            "telephone_number": "717-741-0848",
            "fax_number": "717-741-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEVIN",
        "first_name": "AMBER",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS042505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124450700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "ADKINS",
            "middle_name": "LEANN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.