Jerry Dean Chambers, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6384 Issued in KS

Practice address

423 North Washington Ave
Iola, KS 66749

Phone

(620) 365-3991

Fax

(620) 365-3999

NPI assigned

Sep 7, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376646950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 NORTH WASHINGTON AVE",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "66749",
            "telephone_number": "620-365-3991",
            "fax_number": "620-365-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 NORTH WASHINGTON AVE",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "66749",
            "telephone_number": "620-365-3991",
            "fax_number": "620-365-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "JERRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "22818",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry A Buck, D.C.
• Bruce Franklin Burgo, LCSW
• Wendy E Burton, MD
• Joseph Frederick Caron, D.C.
• Cary Minor Chiropractic, PA
• City of Iola (Iola Fire and EMS)
• Tilar Jayln Cleaver
• Sara M Clift, PA
• Ryan Nicholas Coffield, DDS
• Darci Taylor Collins

• General Practice Dentistry in Iola, KS
• Providers in Iola, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.