Individual provider Active NPI

Eric S Chatterley, D.D.S.

  • General Practice Dentistry
  • Highlands Ranch, CO
National Provider Identifier
1801181706
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10467 Issued in CO
Practice address
9299 S Broadway
Suite 200
Highlands Ranch, CO 80129-5603
Phone
(303) 791-6700
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10467 CO Primary

Addresses

Primary practice location

9299 S Broadway
Suite 200
Highlands Ranch, CO 80129-5603

Mailing address

9299 S Broadway
Suite 200
Highlands Ranch, CO 80129-5603
Phone (303) 791-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20160224001067 CO Order and Referring Only - DentistPractitioner - Dentist 7315242674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10467COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1801181706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 S BROADWAY",
            "address_2": "SUITE 200",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295603",
            "telephone_number": "303-791-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 S BROADWAY",
            "address_2": "SUITE 200",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295603",
            "telephone_number": "303-791-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTERLEY",
        "first_name": "ERIC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.