NPIMap

Organization Active NPI

DRS Chapman & Connelly DDS SC

  • Dentist
  • Beloit, WI
National Provider Identifier
1215030804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5002049015 Issued in WI
Legal business name
DRS CHAPMAN & CONNELLY DDS SC
Practice address
2101 Riverside Drive
Beloit, WI 53511-2932
Phone
(608) 365-4006
Fax
(608) 365-4870
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Timothy F Chapman, DDSNPI 1417120379
Title
President
Phone
(608) 365-4006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5002032015 WI
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5002049015 WI Primary

Addresses

Primary practice location

2101 Riverside Drive
Beloit, WI 53511-2932

Mailing address

2101 Riverside Drive
Beloit, WI 53511-2932
Phone (608) 365-4006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215030804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 RIVERSIDE DRIVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112932",
            "telephone_number": "608-365-4006",
            "fax_number": "608-365-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 RIVERSIDE DRIVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112932",
            "telephone_number": "608-365-4006",
            "fax_number": "608-365-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS CHAPMAN & CONNELLY DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-365-4006",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "5002032015",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "5002049015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.