Active NPI
Chancy Hanquist, DDS
- Dentist
- Aurora, NE
National Provider Identifier
1669086252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7637
- Practice address
- 1219 N St
Aurora, NE 68818-1621 - Phone
- (402) 694-2044
- Fax
- (402) 694-6244
- NPI assigned
- Sep 2, 2020
- Last updated
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7637 | NE | Primary |
Addresses
Primary practice location
1219 N St
Aurora, NE 68818-1621
Mailing address
1830 E Condon Ave
Aurora, NE 68818-3135
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 |
|---|---|---|---|
| 7637 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa M Schock DDS LLC | Past | Accepting new patients | |
| J Michael Allen DDS PC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Fullerton, NE
- NPI 1366968711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1669086252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 E CONDON AVE",
"city": "AURORA",
"state": "NE",
"postal_code": "688183135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 N ST",
"city": "AURORA",
"state": "NE",
"postal_code": "688181621",
"telephone_number": "402-694-2044",
"fax_number": "402-694-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANQUIST",
"first_name": "CHANCY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.