Active NPI
Chad Barrett Nosek, D.D.S.
- Dental Anesthesiology
- Highland, CA
National Provider Identifier
1427305580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 2901600916
- Practice address
- 27949 Greenspot Rd
Suite H
Highland, CA 92346-4443 - Phone
- (909) 864-6010
- NPI assigned
- Aug 8, 2012
- Last updated
- May 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61669 | CA | |
| Dental Anesthesiology | 1223D0004X | 2901600916 | MI | Primary |
Addresses
Primary practice location
27949 Greenspot Rd
Suite H
Highland, CA 92346-4443
Mailing address
1179 E Paris Ave SE Ste 130
Grand Rapids, MI 49546-3682
Phone (978) 618-3440
Other practice location 1
1179 E Paris Ave SE Ste 130
Grand Rapids, MI 49546-3682
Phone (978) 618-3440
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 |
|---|---|---|---|
| 2901600916 | MI | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson and Chokka Professional Dental Corporation | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Highland Dental Group
- General Practice Dentistry
- Highland, CA
- NPI 1366688525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1427305580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 E PARIS AVE SE STE 130",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463682",
"telephone_number": "978-618-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27949 GREENSPOT RD",
"address_2": "SUITE H",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923464443",
"telephone_number": "909-864-6010"
}
],
"practiceLocations": [
{
"address_1": "1179 E Paris Ave SE Ste 130",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495463682",
"country_code": "US",
"telephone_number": "978-618-3440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOSEK",
"first_name": "CHAD",
"middle_name": "BARRETT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "61669",
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "MI",
"license": "2901600916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.