Individual provider Active NPI

Chadwick Rhett Denman, DDS

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1811050842
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22794 Issued in TX
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

Updated by the provider on Feb 21, 2023

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 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

IdentifierTypeStateIssuer
181183801MedicaidTX

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

LicenseStateTypeSpecialty
22794TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Cycle Center LLC General Practice CurrentSince Feb 26, 2023 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.

Verify at the official NPI Registry.