Individual provider Active NPI

Richard William Chapman Jr., D.D.S.

  • Dentist
  • Claremont, CA
National Provider Identifier
1912080904
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47238 Issued in CA
Practice address
540 W Baseline Rd
Suite 1
Claremont, CA 91711-1612
Phone
(909) 621-6796
Fax
(909) 626-1821
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47238 CA Primary

Addresses

Primary practice location

540 W Baseline Rd
Suite 1
Claremont, CA 91711-1612

Mailing address

540 W Baseline Rd
Suite 1
Claremont, CA 91711-1612
Phone (909) 621-6796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160602002700 CA Order and Referring Only - DentistPractitioner - Dentist 3577853563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47238CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912080904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W BASELINE RD",
            "address_2": "SUITE 1",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111612",
            "telephone_number": "909-621-6796",
            "fax_number": "909-626-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W BASELINE RD",
            "address_2": "SUITE 1",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111612",
            "telephone_number": "909-621-6796",
            "fax_number": "909-626-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.