S. C. Cheesman D.D.S. P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

12009459 Issued in IN

Legal business name

S. C. CHEESMAN D.D.S. P.C.

Practice address

150 N Indiana St
Mooresville, IN 46158-1506

Phone

(317) 831-4240

Fax

(317) 831-4473

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Skipper Curtis Cheesman, D.D.S

Title

Dentist

Phone

(317) 831-4240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1962596197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N INDIANA ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581506",
            "telephone_number": "317-831-4240",
            "fax_number": "317-831-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N INDIANA ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581506",
            "telephone_number": "317-831-4240",
            "fax_number": "317-831-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. C. CHEESMAN D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CHEESMAN",
        "authorized_official_first_name": "SKIPPER",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-831-4240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.