Active NPI
Sarah M Chatman, DDS
- Dentist
- Jackson, TN
National Provider Identifier
1427049634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0000004889
- Practice address
- 504 N Highland Ave
Jackson, TN 38301-4825 - Phone
- (731) 424-8242
- Fax
- (731) 424-0063
- NPI assigned
- Nov 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0000004889 | TN | Primary |
Addresses
Primary practice location
504 N Highland Ave
Jackson, TN 38301-4825
Mailing address
PO Box 2683
Jackson, TN 38302
Phone (731) 424-8242
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005125 | Other | TN | DORAL DENTAL TRICARE |
| 3225544 | Medicaid | TN | |
| 0090921MO | Other | TN | BCBS |
Other names 1
- Sarah Minor Chatman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000004889 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427049634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2683",
"city": "JACKSON",
"state": "TN",
"postal_code": "38302",
"telephone_number": "731-424-8242",
"fax_number": "731-424-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 N HIGHLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383014825",
"telephone_number": "731-424-8242",
"fax_number": "731-424-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATMAN",
"first_name": "SARAH",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000004889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL DENTAL TRICARE",
"identifier": "0005125",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3225544",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0090921MO",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "CHATMAN",
"middle_name": "MINOR",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jackson, TN
Sources for this page
- 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.