Active NPI
Chad Stephen Silvertooth, D.D.S
- Dentist
- Kilgore, TX
National Provider Identifier
1083877609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24062
- Practice address
- 5140 FM 1252 W
Kilgore, TX 75662-1961 - Phone
- (903) 983-1919
- NPI assigned
- Jul 3, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 24062 | TX | Primary |
Addresses
Primary practice location
5140 FM 1252 W
Kilgore, TX 75662-1961
Mailing address
705 Carlisle Dr
Kilgore, TX 75662-6005
Phone (903) 983-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24062 | Other | TX | TEXAS LICENSE |
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 |
|---|---|---|---|
| 24062 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silvertooth and Whinery Family Dental | Current | Accepting new patients | |
| Chad Silvertooh DDS PLLC | Current | Accepting new patients |
Locations
5140 FM 1252 W
Kilgore, TX 75662
Phone (903) 983-1919
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Kilgore, TX
- NPI 1104555861
-
- General Practice Dentistry
- Kilgore, TX
- NPI 1346942471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215129600000",
"number": "1083877609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 CARLISLE DR",
"city": "KILGORE",
"state": "TX",
"postal_code": "756626005",
"telephone_number": "903-983-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 FM 1252 W",
"city": "KILGORE",
"state": "TX",
"postal_code": "756621961",
"telephone_number": "903-983-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERTOOTH",
"first_name": "CHAD",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "24062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSE",
"identifier": "24062",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kilgore, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.