DR. JAMES M SLACK (NPI# 1821486291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821486291 |
| Entity Type | Individual |
| Full Name | DR. JAMES M SLACK |
| Credential | DDS, MS |
| Practice Address |
418 E 30th Ave Ste 2 Spokane WA 99203-2577 |
| Practice Telephone | 5096241139 |
| Practice Fax Number | 5096244617 |
| Mailing Telephone | 5096241139 |
| Mailing Fax Number | 5096244617 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3857 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245340645 | James B Slack | Dentist | 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| 1760955793 | James Andrew Slack | Physical Therapist | 106 Milford St Ste 601, Salisbury, MD 21804-6938 | 2019-01-02 |
| 1700318375 | James Tyler Slack | Community Health Worker | 4773 Caughlin Pkwy Ste 2, Reno, NV 89519-1012 | 2017-04-01 |
| 1073689253 | James W Slack | Ophthalmology | 12255 Fair Lakes Parkway, Fairfax, VA 22033-3952 | 2006-11-28 |
| 1841273588 | James L Slack | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-11-28 |
| Street Address |
418 E 30TH AVE STE 2 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99203-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326121443 | Toillion Pediatric Dentistry | Dentist | 418 E 30th Ave, Spokane, WA 99203-2556 | 2006-10-23 |
| 1376932749 | Combs Orthdontics | Dentist | 418 E 30th Ave, Ste 2, Spokane, WA 99203-2577 | 2015-01-22 |
| 1366715120 | Aaron M. Williams | Dentist | 418 E 30th Ave, Spokane, WA 99203-2577 | 2012-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992541 | Ashley Thunder Hawk | Massage Therapist | 1001 W 25th Ave # 2, Spokane, WA 99203 | 2018-11-28 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1356731988 | Rebekah Elizabeth Alice | Midwife | 417 E 28th Ave, Spokane, WA 99203 | 2015-02-03 |
| 1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
| 1952687386 | Providence Phsyician Services | Family Medicine | 1919 S. Grand Blvd., Spokane, WA 99203 | 2011-10-31 |
| 1033411103 | Patricia Mary Bedalov | Speech-Language Pathologist | 1017 W. 26th Ave., Spokane, WA 99203 | 2010-11-23 |
| 1841591310 | Travis Craig Romney | Chiropractor | 1403 S Grand Blvd., Suite 101s, Spokane, WA 99203 | 2010-11-15 |
| 1942518154 | South Hill Pediatric Dentistry | Dentist | 2020 E 29th Avenue, 130, Spokane, WA 99203 | 2010-09-22 |
| 1942512421 | Judy Lynn Budrow | Massage Therapist | 1805 E. 36th, Spokane, WA 99203 | 2010-07-13 |
| 1871741843 | Elisabeth Carroll Bagby | Massage Therapist | 132 W. 32nd Ave., Spokane, WA 99203 | 2008-09-03 |
| Find all providers in zip 99203 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053867150 | Damon and Damon Orthodontics | Dentist | 4407 N Division St Ste 722, Spokane, WA 99207-1613 | 2016-08-29 |
| 1366751984 | George H Nauert | Dentist | 6821 N Country Homes Blvd Ste 204, Spokane, WA 99208-4376 | 2010-09-30 |
| 1720255102 | Stephanie Clark Combs | Dentist | 418 E 30th Ave Ste 2, Spokane, WA 99203-2581 | 2008-05-14 |
| 1558427427 | Kirkland Brent Reuer | Dentist | 9717 N Nevada, Spokane, WA 99218 | 2006-12-28 |
| 1386705598 | Steven E Gregg | Dentist | 508 W 7th Ave, Spokane, WA 99204-2731 | 2006-12-12 |
| 1437244365 | Duane C Grummons | Dentist | 9425 N Nevada St Ste 100, Spokane, WA 99218-1286 | 2006-10-04 |
| 1780778662 | Ronald H. Ellingsen | Dentist | 9915 N Division St, Spokane, WA 99218-1303 | 2006-10-03 |
| 1437257839 | Joshua L Johnson | Dentist | 510 E Hastings Rd, Suite B, Spokane, WA 99218 | 2006-09-20 |
| 1598225161 | Johnson Van Gemert, Pllc | Dentist | 520 S Cowley St, Spokane, WA 99202-1315 | 2019-03-20 |
| 1215482757 | Ronald H. Ellingsen, Dds, Msd, Ps | Dentist | 9915 N Division St, Spokane, WA 99218-1303 | 2016-08-24 |
| Find all providers in SPOKANE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.