Active NPI
Chadwick Rhett Denman, DDS
- General Practice Dentistry
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22794
- Practice address
- 10900 Research Blvd Ste 140C
Austin, TX 78759-5774 - Phone
- (512) 645-0818
- Fax
- (512) 645-0646
- NPI assigned
- Dec 19, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22794 | TX | Primary |
Addresses
Primary practice location
10900 Research Blvd Ste 140C
Austin, TX 78759-5774
Mailing address
10900 Research Blvd
Suite 160-C #78
Austin, TX 78759-4883
Phone (512) 645-0818
Other practice location 1
317 Ranch Road 620 S Ste 101
Lakeway, TX 78734-4727
Phone (512) 645-0818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181183801 | Medicaid | TX |
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 |
|---|---|---|---|
| 22794 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Cycle Center LLC | General Practice | Current | Accepting new patients |
Locations
10900 Research Blvd
Ste 140C
Austin, TX 78759
Phone (512) 417-2001
10900 Research Blvd
Ste 160C
Austin, TX 78759
Phone (512) 677-5115
317 Ranch Road 620 S
Ste 101
Lakeway, TX 78734
Phone (512) 645-0818
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1811050842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 RESEARCH BLVD",
"address_2": "SUITE 160-C #78",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594883",
"telephone_number": "512-645-0818",
"fax_number": "512-645-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 RESEARCH BLVD STE 140C",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595774",
"telephone_number": "512-645-0818",
"fax_number": "512-645-0646"
}
],
"practiceLocations": [
{
"address_1": "317 Ranch Road 620 S Ste 101",
"address_purpose": "LOCATION",
"city": "Lakeway",
"state": "TX",
"postal_code": "787344727",
"country_code": "US",
"telephone_number": "512-645-0818",
"fax_number": "512-645-0646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENMAN",
"first_name": "CHADWICK",
"middle_name": "RHETT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181183801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.