Individual provider Active NPI

Autumn Rishel Chapman, DDS

  • Dentist
  • Kalispell, MT
National Provider Identifier
1902474448
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN-DEN-LIC-21439 Issued in MT
Practice address
101 Westview Park PL
Kalispell, MT 59901-1401
Phone
(406) 752-1107
NPI assigned
Jun 11, 2021
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN-DEN-LIC-21439 MT Primary

Addresses

Primary practice location

101 Westview Park PL
Kalispell, MT 59901-1401

Mailing address

101 Westview Park PL
Kalispell, MT 59901-1401
Phone (406) 393-8877

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
DEN-DEN-LIC-21439MTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Evan G Olson DDS PC Dentist CurrentSince Feb 4, 2024 Accepting new patients
Cast & Crown Dental PLLC PastSince Jun 1, 2021 Accepting new patients
Havre Dental Group Inc PastSince Nov 5, 2023 Accepting new patients

Locations

101 Westview Park Pl
Kalispell, MT 59901
Phone (406) 393-8877

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1902474448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011401",
            "telephone_number": "406-393-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011401",
            "telephone_number": "406-752-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "AUTUMN",
        "middle_name": "RISHEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-21439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.