Chamberlain Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CHAMBERLAIN DENTAL

Doing business as

Theodore K Chamberlain DMD PA

Practice address

555 S Hercules Ave Ste 403
Clearwater, FL 33764-6347

Phone

(727) 441-6060

Fax

(727) 614-9904

NPI assigned

May 5, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theodore K Chamberlain, DMDNPI 1508184128

Title

Owner

Phone

(727) 441-6060

Specialties & licenses 1

Addresses

Other names 1

• Theodore K Chamberlain DMD PA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Kerry Chamberlain, D.M.D

  • Dentist
  • Clearwater, FL
  • NPI 1508184128
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1043893175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S HERCULES AVE STE 403",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646347",
            "telephone_number": "727-441-6060",
            "fax_number": "727-614-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S HERCULES AVE STE 403",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646347",
            "telephone_number": "727-441-6060",
            "fax_number": "727-614-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBERLAIN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-441-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theodore K Chamberlain DMD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Cerreta, M.D.
• Nicole Cerullo
• Michelle Cha
• Rosemary Chacko, PHARMD
• Tanya Janine Chadwick, LCSW
• Alex Chamberlain
• Brian Keith Chamberlain, PA-C
• Theodore Kerry Chamberlain, D.M.D
• Gabrielle Hope Chamberlin, PA-C
• Melissa Vesilki Chambers, LMHC

• Dentist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.