NPIMap

Organization Active NPI

Chaney, Couch & Associates

  • General Practice Dentistry
  • Tallahassee, FL
National Provider Identifier
1821294984
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHANEY, COUCH & ASSOCIATES
Practice address
3612 Austin Davis Ave
Tallahassee, FL 32308-7401
Phone
(850) 877-0215
Fax
(850) 329-2642
NPI assigned
Jun 25, 2007
Last updated
Apr 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Angela Kaye Hollifield
Title
Office Manager
Phone
(850) 877-0215

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN8129 FL
Dentist 122300000X DN16145 FL
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3612 Austin Davis Ave
Tallahassee, FL 32308-7401

Mailing address

3612 Austin Davis Ave
Tallahassee, FL 32308-7401
Phone (850) 877-0215

Other identifiers 2

IdentifierTypeStateIssuer
60053OtherFLBLUE CROSS BLUE SHIELD
60053OtherFLBC/BS

Other names 1

  • D/B/A Chaney Couch & Grooters Family Dentistry Former legal business name

National Provider Directory

National Provider Directory

Locations

3612 Austin Davis Ave
Tallahassee, FL 32308
Phone (850) 877-0215

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1821294984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 AUSTIN DAVIS AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087401",
            "telephone_number": "850-877-0215",
            "fax_number": "850-329-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 AUSTIN DAVIS AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087401",
            "telephone_number": "850-877-0215",
            "fax_number": "850-329-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANEY, COUCH & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "HOLLIFIELD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-877-0215"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN8129",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16145",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "60053",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "60053",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A Chaney Couch & Grooters Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "D/B/A Chaney Couch & Grooters Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.