John Zachary Skiles Chain, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7616 Issued in NE

Practice address

632 S 4TH St
Eagle, NE 68347-5029

Phone

(402) 781-2525

Fax

(402) 781-2032

NPI assigned

Jul 8, 2013

Last updated

Oct 25, 2023By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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.

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.

• Manhattan Dental

  • General Practice Dentistry
  • Manhattan, KS
  • NPI 1396900254
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1730520735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 S 4TH STREET",
            "address_2": "PO BOX #102",
            "city": "EAGLE",
            "state": "NE",
            "postal_code": "683471582",
            "telephone_number": "402-781-2525",
            "fax_number": "402-781-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 S 4TH ST",
            "city": "EAGLE",
            "state": "NE",
            "postal_code": "683475029",
            "telephone_number": "402-781-2525",
            "fax_number": "402-781-2032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S 70th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685061582",
            "country_code": "US",
            "telephone_number": "402-489-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2745 Pembrook Pl",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665027482",
            "country_code": "US",
            "telephone_number": "785-539-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAIN",
        "first_name": "JOHN",
        "middle_name": "ZACHARY SKILES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7616",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7166",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "61034",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulina Boemyar
• Stacy L Diekmann, RN
• Jennifer Dirkschneider
• Eagle Volunteer Fire Department (Eagle Vol. Fire & Rescue)
• Henry C Furst, DDS
• Elizabeth Gillaspie

• General Practice Dentistry in Eagle, NE
• Providers in Eagle, NE by specialty
• General Practice Dentistry in Nebraska

• 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.
• 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.