Active NPI
Jeff Igor Slutskiy, DMD
- General Practice Dentistry
- Heartland, TN
National Provider Identifier
1982134193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33009
- Practice address
- 2049 Sunnybrook Drive
Heartland, TN 75126 - Phone
- (972) 287-5513
- NPI assigned
- Jun 20, 2017
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33009 | TX | Primary |
Addresses
Primary practice location
2049 Sunnybrook Drive
Heartland, TN 75126
Mailing address
4606 Cedar Springs Rd Apt 812
Dallas, TX 75219-7204
Phone (310) 430-4823
Other names 1
- Igor Yakov Slutskiy
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33009 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1982134193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 CEDAR SPRINGS RD APT 812",
"city": "DALLAS",
"state": "TX",
"postal_code": "752197204",
"telephone_number": "310-430-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2049 SUNNYBROOK DRIVE",
"city": "HEARTLAND",
"state": "TN",
"postal_code": "75126",
"telephone_number": "972-287-5513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUTSKIY",
"first_name": "JEFF",
"middle_name": "IGOR",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IGOR",
"last_name": "SLUTSKIY",
"middle_name": "YAKOV",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.