Organization Active NPI

Chicken Skier PC

  • Dentist
  • Crested Butte, CO
National Provider Identifier
1225566219
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10041 Issued in CO
Legal business name
CHICKEN SKIER PC
Doing business as
Crested Butte Family Dental
Elk Avenue Dental Center
Practice address
412 Elk Avenue
Crested Butte, CO 81224
Phone
(970) 349-5880
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Chelsea R Stangl, DMDNPI 1811221930
Title
Owner
Phone
(970) 349-5880

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10041 CO Primary

Addresses

Primary practice location

412 Elk Avenue
Crested Butte, CO 81224

Mailing address

PO Box 2954
Crested Butte, CO 81224-2954

Other names 2

  • Crested Butte Family Dental Doing business as
  • Elk Avenue Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1225566219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2954",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812242954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 ELK AVENUE",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "81224",
            "telephone_number": "970-349-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKEN SKIER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "STANGL",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-349-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "10041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crested Butte Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elk Avenue Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elk Avenue Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crested Butte, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.