Individual provider Active NPI

Nancy Rae Chaffee, D.D.S., M.S.

  • Prosthodontics
  • Apex, NC
National Provider Identifier
1629154646
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
7259 Issued in NC
Practice address
1051 Pemberton Hill Rd
Suite 102
Apex, NC 27502-4267
Phone
(919) 387-4775
Fax
(919) 387-9559
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 7259 NC Primary

Addresses

Primary practice location

1051 Pemberton Hill Rd
Suite 102
Apex, NC 27502-4267

Mailing address

1051 Pemberton Hill Rd
Suite 102
Apex, NC 27502-4267
Phone (919) 387-4775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 12, 2013 through Mar 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7259NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy R. Chaffee, D.D.S., M.S., P.L.L.C. Prosthodontics Past Accepting new patients
Ingeborg J. de Kok, DDS, Ms, PLLC PastSince Feb 8, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1629154646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PEMBERTON HILL RD",
            "address_2": "SUITE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024267",
            "telephone_number": "919-387-4775",
            "fax_number": "919-387-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PEMBERTON HILL RD",
            "address_2": "SUITE 102",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024267",
            "telephone_number": "919-387-4775",
            "fax_number": "919-387-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFEE",
        "first_name": "NANCY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "7259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.