Active NPI
Jon David Chadys, D.M.D.
- Dentist
- Monroe, CT
National Provider Identifier
1013062884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6283
- Practice address
- 500 Purdy Hill Rd
Unit 3
Monroe, CT 06468-1661 - Phone
- (203) 452-0239
- Fax
- (203) 452-0713
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6283 | CT | Primary |
| General Practice Dentistry | 1223G0001X | 6283 | CT |
Addresses
Primary practice location
500 Purdy Hill Rd
Unit 3
Monroe, CT 06468-1661
Mailing address
500 Purdy Hill Rd
Unit 3
Monroe, CT 06468-1661
Phone (203) 452-0239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6283 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1013062884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PURDY HILL RD",
"address_2": "UNIT 3",
"city": "MONROE",
"state": "CT",
"postal_code": "064681661",
"telephone_number": "203-452-0239",
"fax_number": "203-452-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PURDY HILL RD",
"address_2": "UNIT 3",
"city": "MONROE",
"state": "CT",
"postal_code": "064681661",
"telephone_number": "203-452-0239",
"fax_number": "203-452-0713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADYS",
"first_name": "JON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "6283",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "6283",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.