Active NPI
Dustin C. Slade
- Acupuncturist
- Wheat Ridge, CO
National Provider Identifier
1942708656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 416
- Practice address
- 4710 Otis St
Wheat Ridge, CO 80033-3603 - Phone
- (720) 301-8696
- NPI assigned
- Jan 28, 2018
- Last updated
- Jan 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 416 | CO | Primary |
Addresses
Primary practice location
4710 Otis St
Wheat Ridge, CO 80033-3603
Mailing address
4710 Otis St
Wheat Ridge, CO 80033-3603
Phone (720) 301-8696
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517097600000",
"number": "1942708656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 OTIS ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800333603",
"telephone_number": "720-301-8696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 OTIS ST",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800333603",
"telephone_number": "720-301-8696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLADE",
"first_name": "DUSTIN",
"middle_name": "C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-28",
"last_updated": "2018-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.