Organization Active NPI

J. Carl Chilton DDS, Inc

  • General Practice Dentistry
  • Borger, TX
National Provider Identifier
1487077855
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12420 Issued in TX
Legal business name
J. CARL CHILTON DDS, INC
Practice address
434 Weatherly St
Borger, TX 79007-4220
Phone
(806) 274-5329
Fax
(806) 274-7115
NPI assigned
Jan 21, 2014
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
J. Carl Chilton, DDSNPI 1205925377
Title
Owner
Phone
(806) 274-5329

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12420 TX Primary

Addresses

Primary practice location

434 Weatherly St
Borger, TX 79007-4220

Mailing address

434 Weatherly St
Borger, TX 79007-4220
Phone (806) 274-5329

Other identifiers 1

IdentifierTypeStateIssuer
1995029-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

434 Weatherly St
Borger, TX 79007
Phone (806) 274-5329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1487077855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 WEATHERLY ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074220",
            "telephone_number": "806-274-5329",
            "fax_number": "806-274-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 WEATHERLY ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074220",
            "telephone_number": "806-274-5329",
            "fax_number": "806-274-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CARL CHILTON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "CHILTON",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-274-5329",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1995029-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Borger, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.