DR. CHAD BURTLESS-CREPS (NPI# 1487862389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487862389 |
| Entity Type | Individual |
| Full Name | DR. CHAD BURTLESS-CREPS |
| Credential | D.D.S. |
| Practice Address |
770 Riverside Ave Suite #200 Adrian MI 49221-1476 |
| Mailing Address |
1331 Oakwood Ave Adrian MI 49221-9691 |
| Practice Telephone | 5172639609 |
| Mailing Telephone | 5172656254 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
013725 | MI | Dental Providers |
| Street Address |
770 RIVERSIDE AVE SUITE #200 |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758650 | Asuncion Q Luz | Pediatrics | 770 Riverside Ave, Suite 17, Adrian, MI 49221-1476 | 2005-05-23 |
| 1639699408 | Christopher Donald Valkier | Podiatrist | 770 Riverside Ave, Adrian, MI 49221-1476 | 2017-06-22 |
| 1043690753 | Lisa Schultz | Counselor | 770 Riverside Ave, 11, Adrian, MI 49221-1476 | 2015-06-08 |
| 1710395439 | Tracy Salazar | Counselor | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1445 | 2014-07-25 |
| 1780091751 | Joyce Faulhaber | Counselor | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1476 | 2014-07-22 |
| 1194132449 | Gerald Nelson Mccullough | Counselor | 770 Riverside Ave, Ste 11, Adrian, MI 49221-1476 | 2014-07-18 |
| 1417391673 | Grady Elam | Social Worker | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1476 | 2013-04-18 |
| 1467731117 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 770 Riverside Ave, Suite 106, Adrian, MI 49221-1476 | 2011-08-12 |
| 1609011311 | Scott R. Smith Dds.,pc | Dentist | 770 Riverside Ave, Suite #201, Adrian, MI 49221-1476 | 2008-12-09 |
| 1467630616 | Southeastern Orthopedics PC | Orthopaedic Surgery | 770 Riverside Ave, Ste 105, Adrian, MI 49221-1476 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922500917 | Lifetime Dental Care of Michigan, P.C. | Dentist | 1136 Country Club Rd Ste B, Adrian, MI 49221-8208 | 2018-03-06 |
| 1326569260 | Michigan Dental Associates - Adrian PC | Dentist | 160 N Winter St, Adrian, MI 49221-2093 | 2017-06-30 |
| 1730618612 | Michelle Skaff | Dentist | 113 Maine Ave, Adrian, MN 56110-1192 | 2017-06-05 |
| 1528595501 | Scott Robert Gibson | Dentist | 1515 E Us Highway 223, Adrian, MI 49221-4456 | 2017-05-22 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1437549425 | Dr. Eldib, Pllc | Dentist | 1515 E Us Highway 223 Ste G, Adrian, MI 49221-4456 | 2015-01-28 |
| 1265876619 | Robert Howard Love IIi | Dentist | 689 Stockford Dr, Adrian, MI 49221-1460 | 2013-04-28 |
| 1457658163 | Gary A Blaesing Dds PC | Dentist | 1548 West Maumee, Adrian, MI 49221 | 2011-02-15 |
| 1740503648 | Brilliant Smiles Dental/vabo Investments Pllc | Dentist | 113 W Front St Ste C, Adrian, MI 49221-2072 | 2010-03-05 |
| 1346456332 | Richard B. Youngs,dds,pc | Dentist | 133 E Maple Ave, Adrian, MI 49221-2157 | 2007-05-15 |
| Find all providers in ADRIAN | ||||
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| 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.