Individual provider Active NPI

Dennis A Chenovick, DDS

  • Dentist
  • Helena, MT
National Provider Identifier
1164560900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1224 Issued in MT
Practice address
1093 Helena Avenue
Helena, MT 59601-3558
Phone
(406) 442-5930
Fax
(406) 442-5931
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
1224MTMDSpeech-Language Pathologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1224 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

1093 Helena Avenue
Helena, MT 59601-3558

Mailing address

1093 Helena Avenue
Helena, MT 59601-3558
Phone (406) 442-5930

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0117403MedicaidMT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164560900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 HELENA AVENUE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013558",
            "telephone_number": "406-442-5930",
            "fax_number": "406-442-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 HELENA AVENUE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013558",
            "telephone_number": "406-442-5930",
            "fax_number": "406-442-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENOVICK",
        "first_name": "DENNIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117403",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.