Organization Active NPI

Chillicothe Family Dental, LLC

  • Dental Clinic/Center
  • Chillicothe, OH
National Provider Identifier
1912477977
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHILLICOTHE FAMILY DENTAL, LLC
Practice address
30 N Walnut St
Chillicothe, OH 45601-3114
Phone
(740) 773-8483
NPI assigned
Dec 3, 2018
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Dr. Kellie Schwalbach, D.D.S.NPI 1528594553
Title
Ceo
Phone
(740) 773-8384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

30 N Walnut St
Chillicothe, OH 45601-3114

Mailing address

30 N Walnut St
Chillicothe, OH 45601-3114
Phone (740) 773-8483

Other identifiers 1

IdentifierTypeStateIssuer
1962592386MedicaidOH

National Provider Directory

National Provider Directory

Locations

30 N Walnut St
Chillicothe, OH 45601
Phone (740) 773-8384

Practitioners & affiliated clinicians

Practitioners 1

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": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1912477977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N WALNUT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013114",
            "telephone_number": "740-773-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N WALNUT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013114",
            "telephone_number": "740-773-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILLICOTHE FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "SCHWALBACH",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-773-8384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962592386",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.