Skipper Curtis Cheesman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009459 Issued in IN

Practice address

150 N Indiana St
Mooresville, IN 46158-1506

Phone

(317) 831-4240

Fax

(317) 831-4473

NPI assigned

Sep 22, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• S. C. Cheesman D.D.S. P.C.

  • Dentist
  • Mooresville, IN
  • NPI 1962596197
  Authorized official Same address or phone
• South Central Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Franklin, IN
  • NPI 1518004050
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598865479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 HICKORY WOOD ROW",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437450",
            "telephone_number": "317-422-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N INDIANA ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581506",
            "telephone_number": "317-831-4240",
            "fax_number": "317-831-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEESMAN",
        "first_name": "SKIPPER",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200209740A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Catellier, FNP-C
• Cathie L Barnes Sole MBR (Lovability Home Health Care LLC)
• Erica Jo Caudill, MHC, CPSP
• Miyah Renee Chambers
• Holly M Chapman, PA
• Charles D Christian, M.D.
• Bryan Alexander Chudnow, PHARMD
• City Optical Co., Inc. (Dr. Tavel Family Eye Care)
• Lori Renee Clark, RD
• Debra Neal Cohen, RPH

• General Practice Dentistry in Mooresville, IN
• Providers in Mooresville, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.