DR. DAVID P SLACK MD
NPI 1356351795
Specialist in Olympia, WA

Q: What is David Slack's NPI number?

The NPI number for David Slack is 1356351795. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is David Slack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for David Slack was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2006PECOS Enrolled

700 LILLY RD NE, OLYMPIA, WA 98506(509) 241-7938(360) 923-7089 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. David P Slack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID P SLACK MD (NPI 1356351795) is an individual specialist in Olympia, Washington, licensed in Washington (MD00044806) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Centralia.

NPPES Registry Identity

NPI1356351795

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. DAVID P SLACKCredential: MD

Location Address700 LILLY RD NEOlympia, WA 98506-5196

Mailing Address700 Lilly Rd NeOlympia, WA 98506-5196 · (509) 241-7938 · Fax (360) 923-7089

Phone(509) 241-7938

Fax(360) 923-7089

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateMay 5, 2021

NPPES CertifiedMay 5, 2021

✔ NPI 1356351795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · MD00044806

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

700 LILLY RD NE, Olympia, WA 98506

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Secondary Practice Location 1

Location 11809 Cooks Hill RdCentralia, WA 98531-9072 · Phone (360) 330-8626 · Fax (360) 330-8623

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David P Slack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIHAN A FERRER M.D.

Family Medicine