Dale Robert Chamberlain, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1806 Issued in MT

Practice address

310 Wendell Ave
Suite 3
Lewistown, MT 59457-2267

Phone

(406) 538-2084

Fax

(406) 538-2087

NPI assigned

Jan 2, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174680789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WENDELL AVE",
            "address_2": "SUITE 3",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572267",
            "telephone_number": "406-538-2084",
            "fax_number": "406-538-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WENDELL AVE",
            "address_2": "SUITE 3",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572267",
            "telephone_number": "406-538-2084",
            "fax_number": "406-538-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "DALE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113984",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Montana Medical Facilities, Inc. (Central Montana Medical Center Ambulance)
• Central Montana Medical Facilities, Inc. (Central Montana Medical Center HHA)
• Central Montana Medical Facilities, Inc. (Central Montana Medical Center Case Mgmt)
• Central Montana SNF Operations, LLC (Central Montana Nursing & Rehabilitation Center)
• Central Mt Learning Resource Center
• Ammie M Chapman, D.C.
• Ashley Ferrin Chapman
• Chiropractic Montana
• Jacob Clinton
• Amber Lee Close, APRN

• General Practice Dentistry in Lewistown, MT
• Providers in Lewistown, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.