Kenneth W Chapman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1882-80 Issued in MS

Practice address

120 W Harper St
Richland, MS 39218-9424

Phone

(601) 939-9502

NPI assigned

Jul 27, 2006

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1508880923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W HARPER ST",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189424",
            "telephone_number": "601-939-9502",
            "fax_number": "601-939-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W HARPER ST",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189424",
            "telephone_number": "601-939-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "KENNETH",
        "middle_name": "W",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1882-80",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dorman Brian
• Ashley Bruce
• Jason Michael Butler, NP
• Wilford Hale Byrd, MD
• Lesley Ann Cameron, PHARMD
• Countryview Partners, LLC
• Craddock and Hyde Dental PLLC
• Craddock and Malley Dental PLLC
• Hillary Craddock, DMD
• Crossgates Hma Medical Group, LLC

• All providers in Richland, MS
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.