Organization Active NPI

Chamberlain Family Dentistry

  • Dental Clinic/Center
  • Chamberlain, SD
National Provider Identifier
1962884155
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D1085 Issued in SD
Legal business name
CHAMBERLAIN FAMILY DENTISTRY
Practice address
110 W Mott Ave
Chamberlain, SD 57325-1244
Phone
(605) 734-6028
Fax
(605) 734-6029
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Zachary R McCready, DMDNPI 1780066100
Title
President
Phone
(605) 840-1214

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 D1085 SD Primary

Addresses

Primary practice location

110 W Mott Ave
Chamberlain, SD 57325-1244

Mailing address

PO Box 682
Chamberlain, SD 57325-0682
Phone (605) 734-9028

National Provider Directory

National Provider Directory

Locations

110 W Mott Ave
Chamberlain, SD 57325
Phone (605) 734-6028

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1962884155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573250682",
            "telephone_number": "605-734-9028",
            "fax_number": "605-734-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W MOTT AVE",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573251244",
            "telephone_number": "605-734-6028",
            "fax_number": "605-734-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBERLAIN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "MCCREADY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-840-1214",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "D1085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamberlain, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.