Individual provider Active NPI

Christopher Shea Cheuvront, DMD

  • Endodontics
  • Somerset, KY
National Provider Identifier
1487872214
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8221 Issued in KY
Practice address
87 Sarahs LN
Somerset, KY 42503-2789
Phone
(606) 679-3010
Fax
(606) 679-2181
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8221 KY
Endodontics 1223E0200X 8221 KY Primary

Addresses

Primary practice location

87 Sarahs LN
Somerset, KY 42503-2789

Mailing address

87 Sarahs LN
Somerset, KY 42503-2789
Phone (606) 679-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20130702000347 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4688814270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8221KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1487872214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SARAHS LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032789",
            "telephone_number": "606-679-3010",
            "fax_number": "606-679-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 SARAHS LN",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032789",
            "telephone_number": "606-679-3010",
            "fax_number": "606-679-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUVRONT",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8221",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KY",
            "license": "8221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.