Clark Christopher Chaney, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61082 Issued in KS

Practice address

4121 W 83Rd St Ste 206
Prairie Village, KS 66208-5323

Phone

(913) 381-2828

NPI assigned

Aug 5, 2013

Last updated

Dec 17, 2018By 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 1

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

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.

• Clark C. Chaney DDS, LLC.

  • Dental Clinic/Center
  • Prairie Village, KS
  • NPI 1548731474
  NPD (past) Authorized official
• Pleasant Dental Care KC

  • Dental Clinic/Center
  • Kansas City, MO
  • NPI 1043824832
  NPD (past)

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1790117448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 ROE BLVD",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052374",
            "telephone_number": "913-515-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST STE 206",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085323",
            "telephone_number": "913-381-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 E. 63rd Street",
            "address_2": "Suite #100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641103439",
            "country_code": "US",
            "telephone_number": "816-523-2221",
            "fax_number": "816-523-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "CLARK",
        "middle_name": "CHRISTOPHER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Claire L Chadwick, LPC
• Mary T Champion, MD
• Naga Sushma Chavvakula
• Nancy Childers, COTA
• Children's Mercy - Village Pediatrics (Village Pediatrics - An Affiliate of Children's Mercy)
• Children's Physical Therapy Associates LLC
• Children's Physical Therapy LLC

• Dentist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.