Active NPI
Chamberlain Family Dentistry
- Dental Clinic/Center
- Chamberlain, SD
National Provider Identifier
1962884155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D1085
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zachary R McCready, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dentist
- Chamberlain, SD
- NPI 1780066100
-
- Dentist
- Chamberlain, SD
- NPI 1740346493
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.