Eldon Sloan III, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8400 Issued in NC

Practice address

102 Church Street
Broadway, NC 27505

Phone

(919) 258-9321

NPI assigned

May 25, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ef Sloan DDS PLLC

  dba Sloan Dental Sleep Solutions

  • Dental Clinic/Center
  • Broadway, NC
  • NPI 1811457427
  NPD Authorized official
• Sloan & Sloan DDS PLLC

  • General Practice Dentistry
  • Broadway, NC
  • NPI 1710158456
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982815353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "BROADWAY",
            "state": "NC",
            "postal_code": "275050070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHURCH STREET",
            "city": "BROADWAY",
            "state": "NC",
            "postal_code": "27505",
            "telephone_number": "919-258-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "ELDON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markita Rena McCrimmon
• Fanny Navarro Avila, MSW, LCSWA
• Kayce Parker, PHARMD
• Sandhills Family Practice P a
• Sloan & Sloan DDS PLLC
• Eldon F Sloan Jr.
• Jamie Suttles
• Richard Edward Taylor
• Stephanie Angelica Tuchman
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3257)

• General Practice Dentistry in Broadway, NC
• Providers in Broadway, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.