Organization Active NPI

Chatfield Dental Clinic, L.L.C.

  • Dental Clinic/Center
  • Chatfield, MN
National Provider Identifier
1912766759
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHATFIELD DENTAL CLINIC, L.L.C.
Practice address
431 Main St N Ste B
Chatfield, MN 55923-1172
Phone
(832) 483-6364
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Dr. Bryson Rushing, DDSNPI 1891303962
Title
Dentist
Phone
(832) 483-6364

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 Primary

Addresses

Primary practice location

431 Main St N Ste B
Chatfield, MN 55923-1172

Mailing address

1569 Echo Ridge Rd SW
Rochester, MN 55902-2873
Phone (713) 839-5404

National Provider Directory

National Provider Directory

Locations

431 Main St N
Ste B
Chatfield, MN 55923
Phone (507) 867-3550

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": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1912766759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 ECHO RIDGE RD SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559022873",
            "telephone_number": "713-839-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MAIN ST N STE B",
            "city": "CHATFIELD",
            "state": "MN",
            "postal_code": "559231172",
            "telephone_number": "832-483-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATFIELD DENTAL CLINIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "BRYSON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-483-6364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.