Active NPI
David Luke Chastain, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Abilene, TX
National Provider Identifier
1053060087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 37871
- Practice address
- 4601 Buffalo Gap Rd Ste C4
Abilene, TX 79606-3363 - Phone
- (325) 692-7272
- NPI assigned
- Mar 18, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 37871 | TX | Primary |
Addresses
Primary practice location
4601 Buffalo Gap Rd Ste C4
Abilene, TX 79606-3363
Mailing address
4217 Swiss Ave Apt 108
Dallas, TX 75204-6621
Phone (325) 998-0595
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 |
|---|---|---|---|
| 37871 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1053060087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4217 SWISS AVE APT 108",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046621",
"telephone_number": "325-998-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 BUFFALO GAP RD STE C4",
"city": "ABILENE",
"state": "TX",
"postal_code": "796063363",
"telephone_number": "325-692-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "DAVID",
"middle_name": "LUKE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "37871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.