Edward Allen Chaney, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.017873 Issued in OH

Practice address

100 Lake Traverse Dr
Sisseton, SD 57262

Phone

(605) 698-7606

NPI assigned

Jun 5, 2008

Last updated

Sep 12, 2018By 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 OH

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1326207291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606378904",
            "telephone_number": "312-550-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "57262",
            "telephone_number": "605-698-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5517 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371012",
            "country_code": "US",
            "telephone_number": "312-550-8144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "EDWARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.017873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0594950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Brooks, RN
• Whitney Jo Bruns, COTA
• Lisa M Bucklin, CNP
• Codi Cameron
• Walter W Casper, DMD
• Frances Erin Chanku, LPN
• Jennifer Leigh Clark, AGNP
• Leroy A Clark, M.D
• Trina Marie Cleveland
• Brenda R. Collins, AGPCNP-BC

• Dentist in Sisseton, SD
• Providers in Sisseton, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.