KENNETH W CHANCEY DMD LLC (NPI# 1083966386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083966386 |
| Entity Type | Organization |
| Organization Name | KENNETH W CHANCEY DMD LLC |
| Practice Address |
534 Boll Weevil Cir Enterprise AL 36330-4012 |
| Practice Telephone | 3343470036 |
| Practice Fax Number | 3342082217 |
| Mailing Telephone | 3343470036 |
| Mailing Fax Number | 3342082217 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |
| Authorized Official Name | MR. KENNETH W CHANCEY (OWNER/DENTIST) |
| Authorized Official Telephone | 3343470036 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 3091 | AL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51091102 | 01 |
| AL | 009915475 | 05 | |
| AL | UNITED CONCORDIA | 000825887 | 01 |
| Street Address |
534 BOLL WEEVIL CIR |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639523798 | Elite Physical Therapy and Wellness Center, Inc | Preferred Provider Organization | 1404 S Brundidge St, Troy, AL 36081-3129 | 2016-04-14 |
| 1114321643 | Marble City Pediatric Dentistry | Preferred Provider Organization | 1039 W Fort Williams St, Sylacauga, AL 35150-2301 | 2014-10-13 |
| 1093122533 | Noahs Ark Child & Family Treatment Center Inc | Preferred Provider Organization | 1728 5th Ave N, Birmingham, AL 35203-2023 | 2014-07-16 |
| 1932510005 | Robert J. Howard D.m.d., P.C. | Preferred Provider Organization | 705 S George Wallace Dr, Troy, AL 36081-3824 | 2014-05-12 |
| 1407266729 | Precise Family Dental, LLC | Preferred Provider Organization | 23730 John T Reid Pkwy, Suite C, Scottsboro, AL 35768-2839 | 2014-05-08 |
| 1609209253 | Healthsource of Huntsville, LLC | Preferred Provider Organization | 975 Airport Rd Sw, Suite H, Huntsville, AL 35802-1392 | 2013-08-19 |
| 1003150160 | Imaging Network Group, Inc. | Preferred Provider Organization | 26831 Canal Rd Ste 7, Orange Beach, AL 36561-4125 | 2012-11-15 |
| 1679839328 | Kenneth E. Pitts, Md, PC | Preferred Provider Organization | 185 Whitesport Dr Sw Ste 4, Huntsville, AL 35801-6487 | 2012-04-06 |
| 1952667123 | Jones Family Services | Preferred Provider Organization | 47 Queen Dr, Columbiana, AL 35051-4082 | 2012-04-02 |
| 1629354162 | Tammy Davis Parks | Preferred Provider Organization | 1820 3rd Ave N, Ste. 106, Bessemer, AL 35020-4903 | 2011-10-28 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on KENNETH W CHANCEY DMD LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.