Active NPI
Anthony B Chin, D.M.D.
- Dentist
- East Alton, IL
National Provider Identifier
1518150481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019027840
- Practice address
- 2 Terminal Dr
Suite 8
East Alton, IL 62024-2201 - Phone
- (618) 258-8460
- Fax
- (618) 258-0489
- NPI assigned
- Aug 23, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2007022193 | MO | |
| Dentist | 122300000X | 019027840 | IL | Primary |
Addresses
Primary practice location
2 Terminal Dr
Suite 8
East Alton, IL 62024-2201
Mailing address
2 Terminal Dr
Suite 8
East Alton, IL 62024-2201
Phone (618) 258-8460
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 |
|---|---|---|---|
| 019027840 | IL | MD | Dentist |
| 2007022193 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1518150481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TERMINAL DR",
"address_2": "SUITE 8",
"city": "EAST ALTON",
"state": "IL",
"postal_code": "620242201",
"telephone_number": "618-258-8460",
"fax_number": "618-258-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TERMINAL DR",
"address_2": "SUITE 8",
"city": "EAST ALTON",
"state": "IL",
"postal_code": "620242201",
"telephone_number": "618-258-8460",
"fax_number": "618-258-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "ANTHONY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2007022193",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.