Sean P Chechang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032609 Issued in IL

Practice address

134 Detroit Ave
Morton, IL 61550-1532

Phone

(309) 263-7449

NPI assigned

May 28, 2020

Sex

Male

Sole proprietor

No

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.

• Smalltown Dental Morton LLC

  • General Practice Dentistry
  • Morton, IL
  • NPI 1720626906

  General Practice

  NPD
• Ronald J. Flanigan DDS, PC

  • General Practice Dentistry
  • Morton, IL
  • NPI 1881760346

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2022.

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1720601487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S 4TH AVE STE 110",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615503401",
            "telephone_number": "309-263-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 DETROIT AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501532",
            "telephone_number": "309-263-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECHANG",
        "first_name": "SEAN",
        "middle_name": "P",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centered Therapy & Wellness PLLC
• Alexander Chacko, LCSW, MS, PHD
• Anna Chambers, DMD
• Champion Fitness, Inc
• Chapters Counseling PLLC
• Stefanie Clarke
• Deborah L Collins, PA-C
• Rebecca Copeland, RD, LDN, CDCES
• Craig Spine and Sport, LLC
• Matthew Carl Craig, D.C.

• All providers in Morton, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.