CHAUTAUQUA HILLS DENTAL CENTER – NPI #1871948497
Clinic/Center

CHAUTAUQUA HILLS DENTAL CENTER is an AHC clinic located in SEDAN, KS. NPPES has assigned the NPI number 1871948497 to CHAUTAUQUA HILLS DENTAL CENTER on May 02, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHAUTAUQUA HILLS DENTAL CENTER” is a dba name, the actual legal business name for this organization is STTT DENTAL SERVICES LLC CORP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 7 years ago on Nov 07, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHAUTAUQUA HILLS DENTAL CENTER below.

NPI Profile for
STTT DENTAL SERVICES LLC CORP

NPI Number
1871948497
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STTT DENTAL SERVICES LLC CORP
Doing Business As (dba): CHAUTAUQUA HILLS DENTAL CENTER
Primary location
120 W OSAGE ST
SEDAN, KS 67361-1518
Phone: (620) 725-3122 Fax: (620) 725-5395
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
COLIN SHAWHAN
DENTIST
Phone: (620) 725-3122
Updated
Identifiers

Identifiers for CHAUTAUQUA HILLS DENTAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKS201126710A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
305S00000X
- Point of Service
KS 61288

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.