Adalene Marie Chabon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022321 Issued in MI

Practice address

8150 Moorsbridge Rd Ste a
Portage, MI 49024-7419

Phone

(269) 327-3400

Fax

(269) 327-3400

NPI assigned

Jun 22, 2017

Last updated

Jun 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Michigan Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Shelby, MI
  • NPI 1235208075
  NPD (past)
• Northwest Michigan Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Traverse City, MI
  • NPI 1144645250
  NPD (past)
• Northwest Michigan Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Shelby, MI
  • NPI 1306262258
  NPD (past)
• Susan M. Dennis, D.D.S.

  • Dentist
  • Portage, MI
  • NPI 1598976144
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1952821837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 MOORSBRIDGE RD STE A",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247419",
            "telephone_number": "269-327-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 MOORSBRIDGE RD STE A",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247419",
            "telephone_number": "269-327-3400",
            "fax_number": "269-327-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABON",
        "first_name": "ADALENE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Vein Restoration Mi PLLC
• Center Medical Supply Company Inc
• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Centre Dental Associates, P.C.
• Ces Consultation, P.C.
• Eileen Sue Chaffee, PH.D.
• Damon Delano Chambers, LPC
• Duncan Chapman, MD
• Lisa Chapman
• Kaitlin T Chappell, NP

• General Practice Dentistry in Portage, MI
• Providers in Portage, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.