Jeremy Alan Chatfield, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D-5004 Issued in ID

Practice address

8152 N Wayne Blvd
Hayden, ID 83835-5031

Phone

(208) 500-3030

NPI assigned

Oct 16, 2006

Last updated

Jun 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 6, 2015 through Nov 6, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B. Ellis Parrott, DDS Inc.

  dba Paradise Gentle Dentistry

  • General Practice Dentistry
  • Paradise, CA
  • NPI 1659600187
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1194805291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 N WAYNE BLVD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355031",
            "telephone_number": "208-500-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8152 N WAYNE BLVD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355031",
            "telephone_number": "208-500-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATFIELD",
        "first_name": "JEREMY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52352",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-5004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Mountain Respiratory, Inc.
• Center for Excellence, P.C.
• Vicki Chandler, PHARMD
• Rachael Chappell, LCSW, ED.S
• Dawn Charbonneau, L.M.T.
• Cheri McCormack Counseling Services, LLC
• Lindsay Childs, PHARMD
• Chiro Plus
• Chiropractic Pain Relief Clinic P a (Priebe Chiropractic)
• Chaysen Chong

• Dentist in Hayden, ID
• Providers in Hayden, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.