DEREK R SLOAN DDS PLLC (NPI# 1023655503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023655503 |
| Entity Type | Organization |
| Organization Name | DEREK R SLOAN DDS PLLC |
| Practice Address |
142 E State Highway 260 Payson AZ 85541-4948 |
| Mailing Address |
Po Box 1231 Pine AZ 85544-1231 |
| Practice Telephone | 4804926399 |
| Mailing Telephone | 4804926399 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | DEREK SLOAN (OWNER) |
| Authorized Official Telephone | 4804926399 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| DEREK R SLOAN DDS PLLC | Doing Business As Name - Organization |
| Street Address |
142 E STATE HIGHWAY 260 |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457918500 | Grant Guy Cordner | Dentist | 425 W 1420 S, Payson, UT 84651-8669 | 2019-05-23 |
| 1730566571 | Travis W. Storey | Dentist | 675 S 100 W Ste 1, Payson, UT 84651-2883 | 2015-04-30 |
| 1912134024 | Ryan L Diquattro | Dentist | 704 South Meadow Street, Payson, AZ 85541 | 2009-06-16 |
| 1487800181 | Eldon W Jenkins | Dentist | 200 W Frontier St Ste 5, Payson, AZ 85541-5361 | 2008-08-13 |
| 1457476376 | Professional Dental LLC | Dentist | 78 E 100 S, Payson, UT 84651-2262 | 2007-03-20 |
| 1407917248 | Kevin S Cahoon | Dentist | 107 S 500 W, Payson, UT 84651-2029 | 2006-12-13 |
| 1386711372 | Charles M. Beier | Dentist | 414 S Beeline Hwy, Ste. 5, Payson, AZ 85541-4884 | 2006-11-29 |
| 1700966348 | Kristopher Cheyn Gunnerson | Dentist | 33 West 300 South, Payson, UT 84651 | 2006-10-17 |
| 1174628218 | Steven Nicholas Booth | Dentist | 120 E Main St Ste B, Payson, AZ 85541-5618 | 2006-09-13 |
| 1780691055 | Mark Boyd Warren | Dentist | 675 S 100 W, Payson, UT 84651-2883 | 2006-08-01 |
| Find all providers in PAYSON | ||||
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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.