Organization Active NPI

Skip Cheesman DDS and Accociates, LLC

  • Dentist
  • Plainfield, IN
National Provider Identifier
1205386703
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009459A Issued in IN
Legal business name
SKIP CHEESMAN DDS AND ACCOCIATES, LLC
Practice address
1855 Stafford Rd
Plainfield, IN 46168-8377
Phone
(317) 839-2088
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Skip Cheesman, DDS
Title
Owner/DDS
Phone
(317) 839-2088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 12009459A IN Primary

Addresses

Primary practice location

1855 Stafford Rd
Plainfield, IN 46168-8377

Mailing address

1855 Stafford Rd
Plainfield, IN 46168-2338
Phone (317) 839-2088

National Provider Directory

National Provider Directory

Locations

1855 Stafford Rd
Plainfield, IN 46168
Phone (317) 839-2088

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1205386703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 STAFFORD RD",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682338",
            "telephone_number": "317-839-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 STAFFORD RD",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688377",
            "telephone_number": "317-839-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIP CHEESMAN DDS AND ACCOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "CHEESMAN",
        "authorized_official_first_name": "SKIP",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "317-839-2088",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009459A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.