DR. JACK MAXWELL CHINN (NPI# 1982785192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982785192 |
| Entity Type | Individual |
| Full Name | DR. JACK MAXWELL CHINN |
| Credential | D.D.S. |
| Practice Address |
20 E Dunloup Shawnee OK 74804-3201 |
| Mailing Address |
20 Dunloup Shawnee OK 74804 |
| Practice Telephone | 4052753510 |
| Practice Fax Number | 4052759111 |
| Mailing Telephone | 4052753510 |
| Mailing Fax Number | 4052759111 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3701 | OK | Dental Providers |
| Street Address |
20 E DUNLOUP |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437563764 | Melanie M Beck | Dentist | 17214 Midland Dr, Shawnee, KS 66217-8901 | 2014-06-14 |
| 1689908634 | Michael J Dostal | Dentist | 5408 Roberts St, Shawnee, KS 66226-3937 | 2009-09-23 |
| 1083877179 | Chase C Youngblood | Dentist | 2025 S Gordon Cooper Dr, Shawnee, OK 74801-9005 | 2008-07-08 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1457452534 | Richard M Dervin | Dentist | 22002 W 66th St, Shawnee, KS 66226-3500 | 2006-09-25 |
| 1750480737 | W Jack Mann Dds Inc | Dentist | 18 Dunlop, Shawnee, OK 74804-3203 | 2006-09-22 |
| 1912003955 | Ramit R Joshi | Dentist | 15834 Shawnee Mission Pkwy, Shawnee, KS 66217-9326 | 2006-09-16 |
| 1477662120 | Terry W Hopkins | Dentist | 1414 N Kennedy Suite 102, Shawnee, OK 74801 | 2006-08-29 |
| 1427063247 | Misty Dawn Sheldon | Dentist | 2510 E Independence St, #600, Shawnee, OK 74804-1839 | 2006-07-30 |
| 1679528657 | Sarina Michelle Harman-tinnel | Dentist | 11644 W 75th St, Suite 101, Shawnee, KS 66214-1372 | 2006-05-24 |
| Find all providers in SHAWNEE | ||||
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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.