Active NPI
Robert Fay Chaffin, DDS
- Dentist
- Chinook, MT
National Provider Identifier
1780025353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN-DEN-LIC-5986
- Practice address
- 419 Pennsylvania St
Chinook, MT 59523-9726 - Phone
- (406) 357-2668
- Fax
- (406) 357-2663
- NPI assigned
- Jul 11, 2013
- Sex
- Male
- Sole proprietor
- No
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 | DEN-DEN-LIC-5986 | MT | Primary |
Addresses
Primary practice location
419 Pennsylvania St
Chinook, MT 59523-9726
Mailing address
PO Box 1359
Chinook, MT 59523-1359
Phone (406) 357-2668
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 |
|---|---|---|---|
| DEN-DEN-LIC-5986 | MT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1780025353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "CHINOOK",
"state": "MT",
"postal_code": "595231359",
"telephone_number": "406-357-2668",
"fax_number": "406-357-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 PENNSYLVANIA ST",
"city": "CHINOOK",
"state": "MT",
"postal_code": "595239726",
"telephone_number": "406-357-2668",
"fax_number": "406-357-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAFFIN",
"first_name": "ROBERT",
"middle_name": "FAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-11",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "DEN-DEN-LIC-5986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chinook, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.