BRENT D. SLOTEN D.O. PLLC (NPI# 1467595504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467595504 |
| Entity Type | Organization |
| Organization Name | BRENT D. SLOTEN D.O. PLLC |
| Other Organization Name | ALLURE DERMATOLOGY |
| Practice Address |
1818 E Baseline Rd Bldg. A Mesa AZ 85204-6814 |
| Mailing Address |
Po Box 4880 Scottsdale AZ 85261-4880 |
| Practice Telephone | 4809811214 |
| Practice Fax Number | 4809811625 |
| Mailing Telephone | 4809811214 |
| Mailing Fax Number | 4809811625 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | DR. BRENT DREW SLOTEN (MANAGING MEMBER) |
| Authorized Official Telephone | 4809811214 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
3368 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PERSONAL NPI | 1073585402 | 01 |
| AZ | MEDICAL LICENSE | 3368 | 01 |
| Other Name | Type Code |
|---|---|
| Allure Dermatology | Doing Business As Name - Organization |
| Street Address |
1818 E BASELINE RD BLDG. A |
| City | MESA |
| State | AZ |
| Zip Code | 85204-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073585402 | Brent Drew Sloten | Dermatology | 1818 E Baseline Rd, Bldg A, Mesa, AZ 85204-6814 | 2006-02-01 |
| 1194167247 | Allurerx,llc | Dermatology | 1818 E Baseline Rd, Mesa, AZ 85204-6814 | 2013-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1629546130 | Josh Vella, M.d., Pllc | Clinic/Center | 3200 E Camelback Rd Ste 180, Phoenix, AZ 85018-2326 | 2018-11-02 |
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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.