Individual provider Active NPI

Matthew T Chaney, DDS

  • Dentist
  • Columbus, OH
National Provider Identifier
1831713015
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
RES.004195 Issued in OH
Practice address
720 W 3Rd Ave Apt 207
Columbus, OH 43212-3157
Phone
(419) 551-1205
NPI assigned
Jun 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X RES.004195 OH Primary

Addresses

Primary practice location

720 W 3Rd Ave Apt 207
Columbus, OH 43212-3157

Mailing address

720 W 3Rd Ave Apt 207
Columbus, OH 43212-3157
Phone (419) 551-1205

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Chaney.186@osu.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200813002026 OH Order and Referring Only - DentistPractitioner - Dentist 2163848706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: chaney.186@osu.edu

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1831713015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 3RD AVE APT 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123157",
            "telephone_number": "419-551-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 3RD AVE APT 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123157",
            "telephone_number": "419-551-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "MATTHEW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "RES.004195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chaney.186@osu.edu",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "720 W 3rd Ave Apt 207",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432123157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.