NPIMap

Organization Active NPI

DRS Mark Slavin and Brian Jackson Mark Slavin Gen PTR

  • Dentist
  • Utica, NY
National Provider Identifier
1982904868
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DRS MARK SLAVIN AND BRIAN JACKSON MARK SLAVIN GEN PTR
Practice address
2534 Genesee St
Utica, NY 13502-5814
Phone
(315) 724-5141
Fax
(315) 733-1270
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Mark Slavin, D.D.S.NPI 1053437848
Title
Owner/Partner
Phone
(315) 724-5141

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2534 Genesee St
Utica, NY 13502-5814

Mailing address

2534 Genesee St
Utica, NY 13502-5814
Phone (315) 724-5141

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1982904868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025814",
            "telephone_number": "315-724-5141",
            "fax_number": "315-733-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025814",
            "telephone_number": "315-724-5141",
            "fax_number": "315-733-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MARK SLAVIN AND BRIAN JACKSON MARK SLAVIN GEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "SLAVIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "315-724-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.