1992907315 NPI number — CHAD BEST MD

Table of content: CHAD BEST MD (NPI 1992907315)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992907315 NPI number — CHAD BEST MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEST
Provider First Name:
CHAD
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992907315
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5730
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELFAST
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04915-5700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-402-7256
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
540 MADISON OAK DR STE 620
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78258-3924
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-640-1630
Provider Business Practice Location Address Fax Number:
210-640-1631
Provider Enumeration Date:
06/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0206X , with the licence number:  19546 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2080P0206X , with the licence number: R9470 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 26077531 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1992907315 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1992907315 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1992907315 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025609200 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




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