Jane Chadwick, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9464 Issued in NC

Practice address

2300 Wayne Memorial Dr
Suite H
Goldsboro, NC 27534-1726

Phone

(919) 731-2620

NPI assigned

Apr 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jane K Chadwick Professional name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jane K. Chadwick, DDS, Ms, PLLC

  • Dentist
  • Goldsboro, NC
  • NPI 1407380827
  NPD (past) Authorized official
• Dr. Richard T. Cooke DDS, Ms, PA

  • Periodontics
  • Goldsboro, NC
  • NPI 1144348350
  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1912297441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WAYNE MEMORIAL DR",
            "address_2": "SUITE H",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-731-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WAYNE MEMORIAL DR",
            "address_2": "SUITE H",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341726",
            "telephone_number": "919-731-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DR 60230156",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "9464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "CHADWICK",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stephen G. Cecil, MD
• Cedar Grove Group Homes, Inc.
• Celestine I. Amaefule, M.D. PC
• Center for Aesthetic Plastic Surgery, PLLC
• Carmen Cestaro, DNP, RN, FNP-BC
• James Chamberlain, PHARMD
• Alyssa L Chance, IBCLC
• Jessica Winstead Chaney, PTA
• James Chang, DO
• Ekta Chansoriya

• Periodontics in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.